Ethan Douglas Fowler-humphrey is a Mental Health Counselor based in Lexington, MA and is specialized in Mental Health. Ethan Douglas Fowler-humphrey practices in Lexington, MA. The NPI Number for Ethan Douglas Fowler-humphrey is 1801185640 and holds a License No. (Massachusetts).
The current practice location address for Ethan Douglas Fowler-humphrey is 1040 Waltham St, Lexington, MA and can be reached out via phone at 781-862-3600 and via fax at 781-860-0589.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1303287 | 05 | MA | |
| 99618201 | 01 | MA | NETWORK HEALTH |
| M18633 | 01 | MA | BCBS |
| 042611055 | 01 | MA | TAX ID |
| 0000023532 | 01 | MA | BMC |
| 1303287 | 01 | MA | MBHP |
| 1004745 | 01 | MA | NHP |
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