Provider Demographics
NPI:1053659920
Name:ALEMAYHEU, SAMUEL D (MA)
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:D
Last Name:ALEMAYHEU
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 PRINCETON ST STE 307
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1581
Mailing Address - Country:US
Mailing Address - Phone:978-677-7823
Mailing Address - Fax:
Practice Address - Street 1:73 PRINCETON ST STE 307
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1581
Practice Address - Country:US
Practice Address - Phone:978-677-7823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-28
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA12345Medicaid