Provider Demographics
NPI:1972601375
Name:CONWAY, MARIANNE G (MA)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:G
Last Name:CONWAY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6 CHRISTINA LANE
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563
Mailing Address - Country:US
Mailing Address - Phone:508-420-6883
Mailing Address - Fax:
Practice Address - Street 1:BAYVIEW ASSOCIATES/SOUTH SHORE MENTAL HEALTH
Practice Address - Street 2:310 BARNSTABLE ROAD
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-862-0514
Practice Address - Fax:508-862-9184
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health