Provider Demographics
NPI:1881854230
Name:KANDLBINDER, LEE DANIEL (MSW)
Entity Type:Individual
Prefix:MR
First Name:LEE
Middle Name:DANIEL
Last Name:KANDLBINDER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MELVIN AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-7443
Mailing Address - Country:US
Mailing Address - Phone:617-877-0106
Mailing Address - Fax:
Practice Address - Street 1:18 MELVIN AVE APT 3
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-7443
Practice Address - Country:US
Practice Address - Phone:617-877-0106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker