Provider Demographics
NPI:1477986875
Name:NERET, MARJORY
Entity Type:Individual
Prefix:MS
First Name:MARJORY
Middle Name:
Last Name:NERET
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MARJORY
Other - Middle Name:
Other - Last Name:NERET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:36 PLEASANT ST
Mailing Address - Street 2:#3
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-1811
Mailing Address - Country:US
Mailing Address - Phone:617-717-9000
Mailing Address - Fax:
Practice Address - Street 1:555 AMORY ST.
Practice Address - Street 2:3
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:781-484-8261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health