MEDICARE: MRS. LOUELLEN MACDONALD PAC

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	363A00000X	Physician Assistant	1667	MA

General Provider Information

NPI Number	:	1790709954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LOUELLEN MACDONALD PAC

Provider Business Mailing Address
First Line	:	61 INDUSTRIAL PARK RD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-4868
Country	:	US
Telephone Number	:	508-746-8977
Fax Number	:	508-746-3364

Provider Business Practice Location Address
First Line	:	61 INDUSTRIAL PARK RD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-4868
Country	:	US
Telephone Number	:	508-746-8977
Fax Number	:	508-746-3364

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1013863927 — COLLEEN KENNEDY PRATT
Practice Location Address:

39A INDUSTRIAL PARK RD
PLYMOUTH, MA
02360-4868

Practice Phone: 508-794-8711
Practice Fax: 508-830-3655

1043220676 — DR. CLAUDIA ORFAO-MARTIN LICSW
Practice Location Address:

39A INDUSTRIAL PARK RD LOWR LEVEL , DUXBURY COUNSELING CENTER, NORTHEAST HEALTH
PLYMOUTH, MA
02360-4868

Practice Phone: 508-830-1444
Practice Fax: 508-830-3655

1629135207 — MR. CHRISTOPHER ERIC BUTERBAUGH MED
Practice Location Address:

61 INDUSTRIAL PARK ROAD , SOUTH BAY MENTAL HEALTH CENTER
PLYMOUTH, MA
02360-4868

Practice Phone: 508-830-0000
Practice Fax: 508-746-8429

1275675431 — TAMAR THOMAS LMHC
Practice Location Address:

39 INDUSTRIAL PARK RD # A
PLYMOUTH, MA
02360-4868

Practice Phone: 508-830-1444
Practice Fax:

1447392741 — SANDRA PATTINATO MED
Practice Location Address:

39 INDUSTRIAL PARK RD # A
PLYMOUTH, MA
02360-4868

Practice Phone: 508-830-1444
Practice Fax:

1407998750 — STEPHEN GLIDDEN LICSW
Practice Location Address:

39 INDUSTRIAL PARK RD # A
PLYMOUTH, MA
02360-4868

Practice Phone: 508-830-1444
Practice Fax:

Directions to “ MRS. LOUELLEN MACDONALD PAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.