Provider Demographics
NPI:1861504953
Name:CANTONE, ELAINE SUSAN (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:ELAINE
Middle Name:SUSAN
Last Name:CANTONE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W CUMMINGS PARK
Mailing Address - Street 2:SUITE 3200
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6372
Mailing Address - Country:US
Mailing Address - Phone:781-937-5678
Mailing Address - Fax:781-937-5678
Practice Address - Street 1:800 W CUMMINGS PARK
Practice Address - Street 2:SUITE 3200
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6372
Practice Address - Country:US
Practice Address - Phone:781-937-5678
Practice Address - Fax:781-937-5678
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5029101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA469602OtherHMO TUFTS
MA01550050201OtherHARVARD PILGRIM HEALTH CA
MALM0974OtherBLUE CROSS/BLUE SHIELD