Provider Demographics
NPI:1164567566
Name:LEMAY, SUSAN LEE (SUSAN LEMAY)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:LEE
Last Name:LEMAY
Suffix:
Gender:F
Credentials:SUSAN LEMAY
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:LEE
Other - Last Name:LEMAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:213 DEDHAM AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-3036
Mailing Address - Country:US
Mailing Address - Phone:617-838-6311
Mailing Address - Fax:978-632-9400
Practice Address - Street 1:16 WYMAN RD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01473-1601
Practice Address - Country:US
Practice Address - Phone:617-838-6311
Practice Address - Fax:978-632-9400
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6122101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health