Provider Demographics
NPI:1407202351
Name:DUPUIS, ALANA ELIZABETH
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:ELIZABETH
Last Name:DUPUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FALMOUTH RD APT 12C
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-2694
Mailing Address - Country:US
Mailing Address - Phone:774-368-2598
Mailing Address - Fax:
Practice Address - Street 1:300 FALMOUTH RD APT 12C
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-2694
Practice Address - Country:US
Practice Address - Phone:774-368-2598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health