Provider Demographics
NPI:1114028776
Name:ENRICH, MARGARET Z (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:Z
Last Name:ENRICH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:Z
Other - Last Name:ENRICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:35 CLARKE ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-4915
Mailing Address - Country:US
Mailing Address - Phone:781-962-8686
Mailing Address - Fax:
Practice Address - Street 1:35 CLARKE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-4915
Practice Address - Country:US
Practice Address - Phone:781-962-8686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7757103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW50677Medicare ID - Type Unspecified