Provider Demographics
NPI:1184056137
Name:O'BRIEN, GAIL ELAINE
Entity type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:ELAINE
Last Name:O'BRIEN
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 1:71 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-2955
Mailing Address - Country:US
Mailing Address - Phone:617-921-2587
Mailing Address - Fax:
Practice Address - Street 1:71 FOREST ST
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-2955
Practice Address - Country:US
Practice Address - Phone:617-921-2587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist