Provider Demographics
NPI:1346498490
Name:GILMORE, MAURA ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:ANN
Last Name:GILMORE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 RAILROAD AVE STE C
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-2145
Mailing Address - Country:US
Mailing Address - Phone:617-512-9762
Mailing Address - Fax:
Practice Address - Street 1:7 RAILROAD AVE STE C
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-2145
Practice Address - Country:US
Practice Address - Phone:617-512-9762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health