Doctor Name: | MRS. HEATHER LYNNE FINE |
NPI Number: | 1073608964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 5606 |
Business Practice Address: | 66 Clifton Avenue Marblehead, MA - 01945 |
Business Phone Number: | 7816318273 |
Business Fax Number: | 7816317264 |
Mailing Address: | 11 Gardner Street, #2 SALEM |
State: | MA |
Postal Code: | 01970 |
Phone Number: | 9787449548 |
Fax Number: | 7815900209 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 10/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5606 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |