Provider Demographics
NPI:1295748622
Name:BELL, DOREEN M (MED, CAGS, LMFT)
Entity type:Individual
Prefix:MRS
First Name:DOREEN
Middle Name:M
Last Name:BELL
Suffix:
Gender:F
Credentials:MED, CAGS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HIGHLAND ST
Mailing Address - Street 2:WORCESTER COUNTY JUVENILE COURT CLINIC
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1119
Mailing Address - Country:US
Mailing Address - Phone:508-792-5309
Mailing Address - Fax:508-757-1420
Practice Address - Street 1:1 HIGHLAND ST
Practice Address - Street 2:WORCESTER COUNTY JUVENILE COURT CLINIC
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1119
Practice Address - Country:US
Practice Address - Phone:508-792-5309
Practice Address - Fax:508-757-1420
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1155106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist