Provider Demographics
NPI:1730486150
Name:LARRABEE, PAUL H (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:H
Last Name:LARRABEE
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:H
Other - Last Name:LARRABEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:12 RIVERVIEW RD
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-1614
Mailing Address - Country:US
Mailing Address - Phone:978-876-4049
Mailing Address - Fax:
Practice Address - Street 1:35 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-5529
Practice Address - Country:US
Practice Address - Phone:978-542-1951
Practice Address - Fax:978-542-1954
Is Sole Proprietor?:No
Enumeration Date:2011-02-21
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2024217101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health