Provider Demographics
NPI:1275886806
Name:PARROTT, ELISABETH ANNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:ANNE
Last Name:PARROTT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ELISABETH
Other - Middle Name:ANNE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-2241
Mailing Address - Country:US
Mailing Address - Phone:781-687-4954
Mailing Address - Fax:978-441-1271
Practice Address - Street 1:10 GEORGE ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-2241
Practice Address - Country:US
Practice Address - Phone:781-687-4954
Practice Address - Fax:978-441-1271
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9600103TC0700X
MA240780163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No163W00000XNursing Service ProvidersRegistered Nurse