Provider Demographics
NPI:1942537360
Name:MCENANY, ELIZABETH HARRAH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HARRAH
Last Name:MCENANY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
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Mailing Address - Street 1:1430 MAIN ST
Mailing Address - Street 2:JF&CS, CENTER FOR EARLY RELATIONSHIP SUPPORT
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1623
Mailing Address - Country:US
Mailing Address - Phone:781-693-5673
Mailing Address - Fax:781-693-5736
Practice Address - Street 1:1430 MAIN ST
Practice Address - Street 2:JF&CS, CENTER FOR EARLY RELATIONSHIP SUPPORT
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1623
Practice Address - Country:US
Practice Address - Phone:781-693-5673
Practice Address - Fax:781-693-5736
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA9210103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical