Provider Demographics
NPI:1497124564
Name:ALABISO, JANELLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:
Last Name:ALABISO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BRICKSTONE SQ STE 201
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1497
Mailing Address - Country:US
Mailing Address - Phone:617-275-9847
Mailing Address - Fax:
Practice Address - Street 1:300 BRICKSTONE SQ
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-1492
Practice Address - Country:US
Practice Address - Phone:617-275-9847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-18
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11715103TH0100X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health