Provider Demographics
NPI:1255780755
Name:CABANE, MARIA ELENA (MED)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ELENA
Last Name:CABANE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 BEACON ST
Mailing Address - Street 2:APT. 4
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5393
Mailing Address - Country:US
Mailing Address - Phone:617-959-3795
Mailing Address - Fax:
Practice Address - Street 1:1213 BEACON ST
Practice Address - Street 2:APT. 4
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5393
Practice Address - Country:US
Practice Address - Phone:617-959-3795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor