Maclean-Wideman, Moira

Maclean-Wideman, Moira is an individual health care provider with primary practice located at 40 Shattuck Rd Ste 250 , Andover MA 01810-2492. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Maclean-Wideman, Moira can be contacted via phone (978) 222-3121.

Contact Information

Primary practice address
40 Shattuck Rd Ste 250 Andover MA 01810-2492
Phone: (978) 222-3121
Fax: (617) 376-8910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHC10002094 Massachusetts

Profile Details

NPI number 1942677471
LBN Legal business name Maclean-Wideman, Moira
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2015
Last updated Apr 23rd, 2024 - about 8 months 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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