Active NPIIndividual providerSole proprietor

Dr. Mary W Humphrey, PHD

Psychologist, Clinical in Medfield, Massachusetts

NPI Number1104887298
Practice location
258 Main St, Suite 3, Medfield, MA 02052-2041
Fax
508-359-0175
Last updated
January 19, 2012

Mary W Humphrey is a Psychologist, Clinical based in Medfield, MA. Mary W Humphrey practices in Medfield, MA and has the professional credentials of PHD. The NPI Number for Mary W Humphrey is 1104887298 and holds a License No. 8150 (MA). The current practice location address for Mary W Humphrey is 258 Main St, Suite 3, Medfield, MA 02052-2041 and can be reached out via phone at 508-359-2570 and via fax at 508-359-0175.

Provider Profile Details

NPI Number
1104887298
Provider Name
Mary W Humphrey
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
258 Main St, Suite 3, Medfield, MA 02052-2041
Phone Number
508-359-2570
Fax Number
508-359-0175
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2006
Last Update Date
January 19, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
258 Main St
Suite 3
Medfield, MA 02052-2041
Zip
02052-2041
Phone Number
508-359-2570
Fax Number
508-359-0175
Medfield, MA 02052Get directions →

Provider Business Mailing Address Details

Address
258 Main St
Suite 3
Medfield, MA 02052-2041
City
Medfield
State
MA
Zip
02052-2041
Phone Number
508-359-2570
Fax Number
508-359-0175

License Information

License Number
8150
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mary W Humphrey, PHD?

The NPI number of Dr. Mary W Humphrey, PHD is 1104887298. It was assigned on March 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mary W Humphrey, PHD?

Dr. Mary W Humphrey, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 8150.

Where does Dr. Mary W Humphrey, PHD practice?

The practice location is 258 Main St, Suite 3, Medfield, MA 02052-2041. The office can be reached at 508-359-2570 (phone) or 508-359-0175 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104887298 directly on the NPPES registry website.

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