Provider Demographics
NPI:1316600943
Name:GELOTTE, ELIZABETH (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:GELOTTE
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ELM ST
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01038-9717
Mailing Address - Country:US
Mailing Address - Phone:413-588-8778
Mailing Address - Fax:
Practice Address - Street 1:15 HIGH POINT DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1223
Practice Address - Country:US
Practice Address - Phone:413-200-9897
Practice Address - Fax:413-417-2547
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date: