Lisa Ellen Beechinor

Individual provider Active NPI Marriage & Family Therapist · Somerville, MA

NPI 1982846291 · NPPES record last updated Jun 27, 2012

Key facts

NPI
1982846291
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
1432 (MA)
Practice address
11 Ward St
Somerville, MA 02143-4214
Phone
(617) 629-6790
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1432 MA Yes

Addresses

Primary practice location

11 Ward St
Somerville, MA 02143-4214

Mailing address

11 Ward St
Somerville, MA 02143-4214

Other providers in Somerville, MA

All providers in Somerville, MA · Marriage & Family Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.