Provider Demographics
NPI:1376883405
Name:SPILLANE, FRANCES THEBY (MA)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:THEBY
Last Name:SPILLANE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 ARMANDINE ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02124-4457
Mailing Address - Country:US
Mailing Address - Phone:508-685-3663
Mailing Address - Fax:
Practice Address - Street 1:27 ARMANDINE ST APT 1
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02124-4457
Practice Address - Country:US
Practice Address - Phone:508-685-3663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9631101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health