Provider Demographics
NPI:1366636359
Name:GOLANN, HELAINE SCARLETT (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELAINE
Middle Name:SCARLETT
Last Name:GOLANN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:HELAINE
Other - Middle Name:HOPKINS
Other - Last Name:SCARLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:221 ISLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-1022
Mailing Address - Country:US
Mailing Address - Phone:617-969-6430
Mailing Address - Fax:617-969-6430
Practice Address - Street 1:221 ISLINGTON RD
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-1022
Practice Address - Country:US
Practice Address - Phone:617-969-6430
Practice Address - Fax:617-969-6430
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-01
Last Update Date:2007-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA827103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW01726Medicaid
MAGOW01726OtherBLUECROSS BLUESHIELD
MA735067OtherTUFTS HEALTH PLAN