| Doctor Name: | MARY BETH LEAN |
| NPI Number: | 1750384467 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 6839 |
| Business Practice Address: | 537 Route 28 Ste 2g Harwich Port, MA - 026461894 |
| Business Phone Number: | 5084308672 |
| Business Fax Number: | 5084309821 |
| Mailing Address: | 8 Shoal Hope Dr, WEST HARWICH |
| State: | MA |
| Postal Code: | 026711615 |
| Phone Number: | 5084308672 |
| Fax Number: | 5084309821 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6839 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |