Haggerty, Maryjo B

Haggerty, Maryjo B is an individual health care provider with primary practice located at 77 E Merrimack St Suite 23, Lowell MA 01852-1251. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Haggerty, Maryjo B can be contacted via phone (978) 452-3711.

Contact Information

Primary practice address
77 E Merrimack St Suite 23 Lowell MA 01852-1251
Phone: (978) 452-3711
Fax: (978) 441-9351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X SW101178 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW101178 Massachusetts

Profile Details

NPI number 1649260282
LBN Legal business name Haggerty, Maryjo B
Credentials LICSW DIPLOMATE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
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 1649260282 NPPES
Massachusetts Other 009132 HARV PILGRIM
Massachusetts Other 240093 HARV PILGRIM

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