Doctor Name: | LISA KLEIN |
NPI Number: | 1205953064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 105615 |
Business Practice Address: | 175 Derby St Suite 2 Hingham, MA - 020434007 |
Business Phone Number: | 7817499227 |
Business Fax Number: | 7817400233 |
Mailing Address: | 175 Derby St, Suite 2 HINGHAM |
State: | MA |
Postal Code: | 020434007 |
Phone Number: | 7817499227 |
Fax Number: | 7817400233 |
NPI Enumeration Date: | 03/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 105615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |