Healthcare Provider Details

I. General information

NPI: 1588507354
Provider Name (Legal Business Name): ELIZABETH ANNE DLUGI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BAKER AVE STE 203
CONCORD MA
01742-2170
US

IV. Provider business mailing address

200 BAKER AVE STE 203
CONCORD MA
01742-2170
US

V. Phone/Fax

Practice location:
  • Phone: 781-551-0999
  • Fax:
Mailing address:
  • Phone: 781-551-0999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY10002201
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: