Provider Demographics
NPI:1912219734
Name:MCINERNEY, MARY-HELENA
Entity Type:Individual
Prefix:
First Name:MARY-HELENA
Middle Name:
Last Name:MCINERNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W FOSTER ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3847
Mailing Address - Country:US
Mailing Address - Phone:781-558-0020
Mailing Address - Fax:
Practice Address - Street 1:1 W FOSTER ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3847
Practice Address - Country:US
Practice Address - Phone:781-558-0020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health