Individual
MARTHA NIEMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
LIFESTYLE HEALTH, 85 MIDDLESEX TPKE STE 3110, BURLINGTON, MA 01803
(781) 744-1066
Mailing address
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
11465
MA
103TC0700X
Clinical Psychologist
Primary
11465
MA
Other
Enumeration date
04/01/2018
Last updated
09/02/2021
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