Provider Demographics
NPI:1417225087
Name:MCDEVITT, MARY JANE (MA)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:JANE
Last Name:MCDEVITT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PARKER DR
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1721
Mailing Address - Country:US
Mailing Address - Phone:978-681-9525
Mailing Address - Fax:
Practice Address - Street 1:439 S UNION ST
Practice Address - Street 2:SUITE #116
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2837
Practice Address - Country:US
Practice Address - Phone:978-682-9222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health