Healthcare Provider Details

I. General information

NPI: 1740100197
Provider Name (Legal Business Name): ELISABETH MCQUARRIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

397 LINCOLN RD
WALPOLE MA
02081-1218
US

IV. Provider business mailing address

44 PINENEEDLE LN
MANSFIELD MA
02048-1653
US

V. Phone/Fax

Practice location:
  • Phone: 508-668-7703
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: