MEDICARE: MRS. ELIZABETH ANNE LETTERIO M.ED

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1093934051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH ANNE LETTERIO M.ED

Provider Business Mailing Address
First Line	:	488 W CENTER ST
Second Line	:	2
City	:	WEST BRIDGEWATER
State	:	MA
Zip	:	02379-1530
Country	:	US
Telephone Number	:	508-297-0015
Fax Number	:

Provider Business Practice Location Address
First Line	:	488 WEST CENTER STREET
Second Line	:	2
City	:	BRIDGEWATER
State	:	MA
Zip	:	02379-2733
Country	:	US
Telephone Number	:	508-297-0015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	03/01/2016

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