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Contact Information

JENNIFER LISH, PhD
9 CEDAR ST
WORCESTER, MA01609-2505
 Phone: 508-210-0114
 Fax: 508-755-8645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JENNIFER LISH · (Female)

NPI Number 1265597918
Status Active
Credentials PhD
Entity Individual
Enumeration date 12/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 7335
  • MA Medicaid 1854062
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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