Provider Demographics
NPI:1407832702
Name:ARSENAULT, RAYMOND EDWARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:EDWARD
Last Name:ARSENAULT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2410
Mailing Address - Country:US
Mailing Address - Phone:978-985-4083
Mailing Address - Fax:978-372-7563
Practice Address - Street 1:10 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2410
Practice Address - Country:US
Practice Address - Phone:978-985-4083
Practice Address - Fax:978-372-7563
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2842103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
W02982OtherBCBS OF MA
0602248Y0NH01OtherANTHEM BCBS NH
68929OtherCIGNA
765132OtherTUFTS
NH99002248Medicaid
000098OtherVALUE OPTIONS
02037000005OtherPACIFICARE BEHAVIORAL HTH
4586982OtherAETNA
V4293OtherEMPIRE BCBS
459515000OtherMAGELLAN
103502OtherMANAGED HEALTH NETWORK
459515000OtherMAGELLAN