Lean, Mary Beth

Lean, Mary Beth is an individual health care provider with primary practice located at 537 Route 28 Ste 2G, Harwich Port MA 02646-1894. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lean, Mary Beth can be contacted via phone (508) 430-8672.

Contact Information

Primary practice address
537 Route 28 Ste 2G Harwich Port MA 02646-1894
Fax: (508) 430-9821
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6839 Massachusetts

Profile Details

NPI number 1750384467
LBN Legal business name Lean, Mary Beth
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750384467 NPPES
Massachusetts MEDICAID 0501514

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