Provider Demographics
NPI:1447326053
Name:PEASLEE, DENISE G (MSMED,LMHC)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:G
Last Name:PEASLEE
Suffix:
Gender:F
Credentials:MSMED,LMHC
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:KATHLEEN
Other - Last Name:GIROUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:72 FLORENCE ROAD
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851
Mailing Address - Country:US
Mailing Address - Phone:978-937-1205
Mailing Address - Fax:
Practice Address - Street 1:45 MERRIMACK ST
Practice Address - Street 2:SUITE 409
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1729
Practice Address - Country:US
Practice Address - Phone:978-319-5384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6618101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health