Provider Demographics
NPI:1174675037
Name:LAFRANCE, MARYCATHERINE (PSYD)
Entity Type:Individual
Prefix:
First Name:MARYCATHERINE
Middle Name:
Last Name:LAFRANCE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 CAMBRIDGE PKWY
Mailing Address - Street 2:APT W501
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02142-1241
Mailing Address - Country:US
Mailing Address - Phone:617-621-1280
Mailing Address - Fax:
Practice Address - Street 1:83 CAMBRIDGE PKWY
Practice Address - Street 2:APT W501
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142-1241
Practice Address - Country:US
Practice Address - Phone:617-621-1280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016749-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical