Jennifer Lish is a Clinical in Holden, Massachusetts. Jennifer Lish practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Lish is 1265597918. The last update date is 2007-07-08.
Jennifer Lish's current location address is 15 Avery Rd, Holden, Massachusetts. You can contact this provider via phone number 5082100114 and fax number 5087558645. The mailing address for Jennifer Lish is 15 Avery Rd, Holden, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lish |
|---|---|
| Address | 15 Avery Rd, Holden, Massachusetts |
| Phone Number | 5082100114 |
| Fax Number | 5087558645 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1265597918 |
|---|---|
| Provider Enumeration Date | 2006-12-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Avery Rd |
|---|---|
| City | Holden |
| State | Massachusetts (MA) |
| Post Code | 15201235 |
| Phone Number | 5082100114 |
| Fax Number | 5087558645 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7335 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1854062 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer Lish by the Centers for Medicare & Medicaid Services?
The Jennifer Lish has been issued the NPI (National Provider Identifier) 1265597918 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jennifer Lish's facilities are geographically located?
The facilities of Jennifer Lish are physically situated at the following location: 15 Avery Rd, Holden, MA, 15201235.
What is Jennifer Lish's area of expertise and its corresponding taxonomy classification?
The Jennifer Lish's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1265597918 assigned to Jennifer Lish?
The Jennifer Lish was issued its 1265597918 on 2006-12-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jennifer Lish most recently updated or revised?
The information pertaining to Jennifer Lish, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.