Provider Demographics
NPI:1871635375
Name:ARONS, GINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:
Last Name:ARONS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LONGMEADOW RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:MA
Mailing Address - Zip Code:01773-4810
Mailing Address - Country:US
Mailing Address - Phone:781-259-3434
Mailing Address - Fax:781-259-7151
Practice Address - Street 1:20 LONGMEADOW RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:MA
Practice Address - Zip Code:01773-4810
Practice Address - Country:US
Practice Address - Phone:781-259-3434
Practice Address - Fax:781-259-7151
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3932103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW03926OtherBLUE CROSS & BLUE SHIELD
MAW03926OtherBLUE CROSS & BLUE SHIELD