Provider Demographics
NPI:1083765945
Name:TEMPLE, ANN M (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:M
Last Name:TEMPLE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:947 ROUTE 6A
Mailing Address - Street 2:UNIT 1
Mailing Address - City:YARMOUTH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675-2171
Mailing Address - Country:US
Mailing Address - Phone:508-375-0609
Mailing Address - Fax:
Practice Address - Street 1:947 ROUTE 6A
Practice Address - Street 2:UNIT 1
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675-2171
Practice Address - Country:US
Practice Address - Phone:508-375-0609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4633101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health