Breen, Mary Philippa

Breen, Mary Philippa is an sole proprietor health care provider with primary practice located at 91 Wyman St , Waban MA 02468-1529. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Breen, Mary Philippa can be contacted via phone (617) 244-1881.

Contact Information

Primary practice address
91 Wyman St Waban MA 02468-1529
Phone: (617) 244-1881
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7493 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 7493 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X 7493 Massachusetts

Profile Details

NPI number 1831213628
LBN Legal business name Breen, Mary Philippa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831213628 NPPES
Massachusetts Other W06108 BCBS PROVIDER NO.

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