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Contact Information

MARY BETH LEAN, PSY.D.
537 ROUTE 28
STE 2G
HARWICH PORT, MA02646-1894
 Phone: 508-430-8672
 Fax: 508-430-9821
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY BETH LEAN · (Female)

NPI # 1750384467
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 05/27/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 6839
  • MA Medicaid 0501514
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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