Healthcare Provider Details

I. General information

NPI: 1528431129
Provider Name (Legal Business Name): ALICE CAHILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 11/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 FRAMINGHAM RD
MARLBOROUGH MA
01752-3260
US

IV. Provider business mailing address

58 FRAMINGHAM RD
MARLBOROUGH MA
01752-3260
US

V. Phone/Fax

Practice location:
  • Phone: 508-481-8077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: