Doctor Name: | MS. HELENE A LIEB |
NPI Number: | 1215029657 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD |
License Number: | 4459 |
Business Practice Address: | 175 Derby St Suite 16 Hingham, MA - 02043 |
Business Phone Number: | 7817401546 |
Business Fax Number: | 7817400212 |
Mailing Address: | 175 Derby St, Suite 16 HINGHAM |
State: | MA |
Postal Code: | 02043 |
Phone Number: | 7817401546 |
Fax Number: | 7817400212 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 4459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |