Kenin, Lydia
Kenin, Lydia is an sole proprietor health care provider with primary practice located at 45 Metacomet Rd , Waban MA 02468-1418. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kenin, Lydia can be contacted via phone (617) 969-7393.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4186 | Massachusetts |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 103930 | Massachusetts |
Profile Details
NPI number | 1902042344 |
---|---|
LBN Legal business name | Kenin, Lydia |
Credentials | PSYD, LICSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 6th, 2009 |
Last updated | Jan 6th, 2009 - about 15 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 | 1902042344 | NPPES |
Massachusetts | Other | W50166 | MEDICARE PARTICIPATING SUPPLIER IDENTIFICATION CODE |
Massachusetts | Other | WO5557 | MEDICARE PARTICIPATING SUPPLIER IDENTIFICATION CODE |
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