Provider Demographics
NPI:1306936372
Name:LACHAPELLE, ELIZABETH M (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:M
Last Name:LACHAPELLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:MARY
Other - Last Name:SCANLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264
Mailing Address - Country:US
Mailing Address - Phone:603-536-5223
Mailing Address - Fax:603-536-5223
Practice Address - Street 1:7 MAIN ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-1592
Practice Address - Country:US
Practice Address - Phone:603-536-5223
Practice Address - Fax:603-536-5223
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH891103TC0700X
MA4999103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1306936372OtherINDIVIDUAL NPI
NH1912079443OtherGROUP NPI
NH27210OtherPTAN
NH30421468Medicaid
0609214YONH02OtherBCBS BHN NH VT MA CT
NHCERE7431Medicare ID - Type Unspecified
NH1306936372OtherINDIVIDUAL NPI
NH30421468Medicaid
NH27210OtherPTAN