Provider Demographics
NPI:1205972387
Name:O'BRIEN, MARGARET LYNN (MA, JD)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:LYNN
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MA, JD
Other - Prefix:MS
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:O'BRIEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, JD
Mailing Address - Street 1:28 BROOKSBIE RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-1836
Mailing Address - Country:US
Mailing Address - Phone:781-275-3584
Mailing Address - Fax:
Practice Address - Street 1:365 EAST ST
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1950
Practice Address - Country:US
Practice Address - Phone:978-851-0790
Practice Address - Fax:978-851-5218
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5146101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health