Herringshaw, Lee R.
Herringshaw, Lee R. is an sole proprietor health care provider with primary practice located at 1696 Massachusetts Ave Suite #2, Cambridge MA 02138-1803. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Herringshaw, Lee R. can be contacted via phone (617) 501-4488.Contact Information
Primary practice address
1696 Massachusetts Ave Suite #2
Cambridge MA 02138-1803
Phone: (617) 501-4488
Fax: (617) 864-0538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | MA7383 | Massachusetts |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | MA7383 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | MA7383 | Massachusetts |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | MA7383 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1487710406 |
|---|---|
| LBN Legal business name | Herringshaw, Lee R. |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Nov 9th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487710406 | NPPES |
| Massachusetts | Other | 0000W05805 | BLUE CROSS BLUE SHIELD |
| Massachusetts | MEDICAID | 0526568 | BLUE CROSS BLUE SHIELD |
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