Provider Demographics
NPI:1093934051
Name:LETTERIO, ELIZABETH ANNE (MED)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANNE
Last Name:LETTERIO
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:ANNE
Other - Last Name:LETTERIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:488 W CENTER ST
Mailing Address - Street 2:2
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1530
Mailing Address - Country:US
Mailing Address - Phone:508-297-0015
Mailing Address - Fax:
Practice Address - Street 1:488 WEST CENTER STREET
Practice Address - Street 2:2
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-2733
Practice Address - Country:US
Practice Address - Phone:508-297-0015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)