Provider Demographics
NPI:1023644044
Name:GOPAUL, MARGARET TERESA (PHD, MSCP)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:TERESA
Last Name:GOPAUL
Suffix:
Gender:F
Credentials:PHD, MSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MURPHY DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-1865
Mailing Address - Country:US
Mailing Address - Phone:860-478-6261
Mailing Address - Fax:
Practice Address - Street 1:1330 BEACON ST STE 209
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3202
Practice Address - Country:US
Practice Address - Phone:857-706-4907
Practice Address - Fax:857-576-0059
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-21
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11118101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty