Provider Demographics
NPI:1275901522
Name:MAJOR, MARLENE (EDD,RESPECIALIZATI)
Entity Type:Individual
Prefix:DR
First Name:MARLENE
Middle Name:
Last Name:MAJOR
Suffix:
Gender:F
Credentials:EDD,RESPECIALIZATI
Other - Prefix:DR
Other - First Name:MARLENE
Other - Middle Name:M
Other - Last Name:MAJOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDD
Mailing Address - Street 1:76 BEDFORD ST STE 12
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-4640
Mailing Address - Country:US
Mailing Address - Phone:617-564-3456
Mailing Address - Fax:
Practice Address - Street 1:76 BEDFORD ST STE 12
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-4640
Practice Address - Country:US
Practice Address - Phone:617-564-3456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-03
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist