Individual
LAWRENCE N HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
269 UNION ST, LYNN, MA 01903
(781) 581-3900
Mailing address
PO BOX 526, LYNN, MA 01903
(781) 596-2502
(781) 596-3966
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7709
MA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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