Provider Demographics
NPI:1952468084
Name:MACALLISTER, MARIE ELIZABETH (MED, LMHC 3249)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:ELIZABETH
Last Name:MACALLISTER
Suffix:
Gender:F
Credentials:MED, LMHC 3249
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:MA
Mailing Address - Zip Code:02338-1709
Mailing Address - Country:US
Mailing Address - Phone:781-249-4844
Mailing Address - Fax:
Practice Address - Street 1:51 MILL ST STE 8
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1651
Practice Address - Country:US
Practice Address - Phone:781-249-4844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC 3249101YM0800X
MALMFT 833106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM0030OtherBCBSMA