Provider Demographics
NPI:1669080586
Name:NEWELL, ELIZABETH DUNCAN
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:DUNCAN
Last Name:NEWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CHAUNCEY AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-4322
Mailing Address - Country:US
Mailing Address - Phone:978-337-7080
Mailing Address - Fax:
Practice Address - Street 1:24 CHAUNCEY AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-4322
Practice Address - Country:US
Practice Address - Phone:978-337-7080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health