Provider Demographics
NPI:1215448733
Name:DE LIMA, HENRY JOSEPH
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:JOSEPH
Last Name:DE LIMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BULFINCH DR APT 214
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1135
Mailing Address - Country:US
Mailing Address - Phone:339-440-3888
Mailing Address - Fax:
Practice Address - Street 1:360 MERRIMACK STREET, BLDG 9, 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:LAWERNCE
Practice Address - State:MA
Practice Address - Zip Code:01843
Practice Address - Country:US
Practice Address - Phone:978-620-2501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical