Provider Demographics
NPI:1861626061
Name:PERREAULT, ESTHER ANNE (ND)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:ANNE
Last Name:PERREAULT
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ABBOTT ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-1611
Mailing Address - Country:US
Mailing Address - Phone:774-230-1210
Mailing Address - Fax:978-630-2375
Practice Address - Street 1:2 NARROWS RD
Practice Address - Street 2:SUITE 101A
Practice Address - City:WESTMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01473-1677
Practice Address - Country:US
Practice Address - Phone:978-874-1180
Practice Address - Fax:978-874-1160
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1108175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath