Doctor Name: | MRS. ILENE PHYLLIS LINER |
NPI Number: | 1013081009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 4114 |
Business Practice Address: | 190 Lenox St Norwood, MA - 020623416 |
Business Phone Number: | 7817698670 |
Business Fax Number: | 7817696717 |
Mailing Address: | 145 Bridle Trail Rd, NEEDHAM |
State: | MA |
Postal Code: | 024921480 |
Phone Number: | 7814530381 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |