Provider Demographics
NPI:1780971887
Name:CAULFIELD, NICOLE (MED)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:CAULFIELD
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 1:31 FULLER AVE
Mailing Address - Street 2:
Mailing Address - City:EAST WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02032-1217
Mailing Address - Country:US
Mailing Address - Phone:508-468-5549
Mailing Address - Fax:
Practice Address - Street 1:31 FULLER AVE
Practice Address - Street 2:
Practice Address - City:EAST WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02032-1217
Practice Address - Country:US
Practice Address - Phone:508-468-5549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-09
Last Update Date:2011-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor