Provider Demographics
NPI:1326058140
Name:BINDER, MARCIA M (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:M
Last Name:BINDER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 MAIN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3858
Mailing Address - Country:US
Mailing Address - Phone:781-405-4527
Mailing Address - Fax:781-233-1511
Practice Address - Street 1:91 EAST ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3301
Practice Address - Country:US
Practice Address - Phone:781-405-4527
Practice Address - Fax:781-233-1511
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1815101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM0427OtherBCBS PROVIDER #
MA7827372OtherAETNA PROVIDER #
MA1815OtherLMHC LICENSE #
MA448974OtherTUFTS PROVIDER #