Active NPIIndividual providerSole proprietor

Dr. Lydia Kenin, PSYD, LICSW

Psychologist in Waban, Massachusetts

NPI Number1902042344
Practice location
45 Metacomet RD, Waban, MA 02468-1418
Fax
—
Last updated
January 6, 2009

Lydia Kenin is a Psychologist based in Waban, MA. Lydia Kenin practices in Waban, MA and has the professional credentials of PSYD, LICSW. The NPI Number for Lydia Kenin is 1902042344 and holds a License No. 4186 (MA). The current practice location address for Lydia Kenin is 45 Metacomet RD, Waban, MA 02468-1418 and can be reached out via phone at 617-969-7393.

Provider Profile Details

NPI Number
1902042344
Provider Name
Lydia Kenin
Credential
PSYD, LICSW
Provider Entity Type
Individual
Gender
Female
Address
45 Metacomet RD, Waban, MA 02468-1418
Phone Number
617-969-7393
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 6, 2009
Last Update Date
January 6, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Metacomet RD
Waban, MA 02468-1418
City
Waban
Zip
02468-1418
Phone Number
617-969-7393
Waban, MA 02468Get directions →

Provider Business Mailing Address Details

Address
45 Metacomet RD
Waban, MA 02468-1418
City
Waban
State
MA
Zip
02468-1418
Phone Number
617-969-7393

License Information

License Number (1)
4186
License State (1)
MA
Taxonomy (1)
Psychologist · 103T00000X · Primary
License Number (2)
103930
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

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

Other Psychologists near Waban, MA

View all Psychologists in Waban →

Frequently Asked Questions

What is the NPI number of Dr. Lydia Kenin, PSYD, LICSW?

The NPI number of Dr. Lydia Kenin, PSYD, LICSW is 1902042344. It was assigned on January 6, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Lydia Kenin, PSYD, LICSW?

Dr. Lydia Kenin, PSYD, LICSW is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 4186.

Where does Dr. Lydia Kenin, PSYD, LICSW practice?

The practice location is 45 Metacomet RD, Waban, MA 02468-1418. The office can be reached at 617-969-7393 (phone).

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 1902042344 directly on the NPPES registry website.

Browse related providers