Healthcare Provider Details

I. General information

NPI: 1811203193
Provider Name (Legal Business Name): JANICE LARIVIERE M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2010
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 BARNSTABLE RD
HYANNIS MA
02601-2902
US

IV. Provider business mailing address

259A NORTH ST
HYANNIS MA
02601-3823
US

V. Phone/Fax

Practice location:
  • Phone: 617-847-1950
  • Fax: 617-774-1490
Mailing address:
  • Phone: 508-862-0514
  • Fax: 508-862-9184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8685
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: