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NPI Code Detail

MEDICARE: MARIA ELENA KATERINA DRUAN

MEDICARE: MARIA ELENA KATERINA DRUAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1225453293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ELENA KATERINA DRUAN
Provider Business Mailing Address
First Line : 33 FAIRVIEW AVE
Second Line :
City : PEMBROKE
State : MA
Zip : 02359-2917
Country : US
Telephone Number : 617-816-4757
Fax Number : 781-754-0131
Provider Business Practice Location Address
First Line : 132 ROBBS HILL RD
Second Line :
City : LUNENBURG
State : MA
Zip : 01462-2167
Country : US
Telephone Number : 774-270-1766
Fax Number : 508-861-0206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2014
Last Update Date : 12/27/2019

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Directions to “ MARIA ELENA KATERINA DRUAN ” Practice Location

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