Provider Demographics
NPI:1538470265
Name:MERCIER, ELISE CHRISTINE (BAED)
Entity Type:Individual
Prefix:MISS
First Name:ELISE
Middle Name:CHRISTINE
Last Name:MERCIER
Suffix:
Gender:F
Credentials:BAED
Other - Prefix:MRS
Other - First Name:ELISE
Other - Middle Name:CHRISTINE
Other - Last Name:KIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BAED
Mailing Address - Street 1:941 PLYMOUTH ST
Mailing Address - Street 2:APARTMENT B
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2818
Mailing Address - Country:US
Mailing Address - Phone:518-935-3743
Mailing Address - Fax:
Practice Address - Street 1:941 PLYMOUTH ST
Practice Address - Street 2:APARTMENT B
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-2818
Practice Address - Country:US
Practice Address - Phone:518-935-3743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst