Individual
DR. LEE R. HERRINGSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1696 MASSACHUSETTS AVE, SUITE #2, CAMBRIDGE, MA 02138-1803
(617) 501-4488
(617) 864-0538
Mailing address
1696 MASSACHUSETTS AVE, SUITE #2, CAMBRIDGE, MA 02138-1803
(617) 501-4488
(617) 864-0538
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
MA7383
MA
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
MA7383
MA
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
MA7383
MA
103TP2701X
Group Psychotherapy Psychologist
MA7383
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000W05805
BLUE CROSS BLUE SHIELD
MA
05
—
0526568
—
MA
Enumeration date
12/28/2006
Last updated
11/09/2012
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