Provider Demographics
NPI:1245385350
Name:SCHERBAN, JANE ELISABETH (LMHC)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:ELISABETH
Last Name:SCHERBAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:466 COMMONWEALTH AVE
Mailing Address - Street 2:SUITE 201B
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-2721
Mailing Address - Country:US
Mailing Address - Phone:617-859-5806
Mailing Address - Fax:617-305-1739
Practice Address - Street 1:466 COMMONWEALTH AVE
Practice Address - Street 2:SUITE 201B
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-2721
Practice Address - Country:US
Practice Address - Phone:617-859-5806
Practice Address - Fax:617-305-1739
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4968101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0000LM0800Medicare UPIN