Organization
HARVARD VANGUARD MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
H. EUGENE LINDSEY JR. (CHIEF EXECUTIVE OFFICER)
(617) 559-8374
Entity
Organization
Contact information
Practice address
20 WALL ST, BEHAVIORAL HEALTH DEPT, BURLINGTON, MA 01803-4758
(617) 559-8374
(617) 421-3487
Mailing address
275 GROVE ST, SUITE 3-300, AUBURNDALE, MA 02466-2272
(617) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
669493
TUFTS
MA
Enumeration date
02/22/2008
Last updated
02/22/2008
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