Provider Demographics
NPI:1447143383
Name:CADAHIA, MARY (CLC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:CADAHIA
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:LIVELY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 MONADNOCK ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-2103
Mailing Address - Country:US
Mailing Address - Phone:978-696-1880
Mailing Address - Fax:
Practice Address - Street 1:125 MONADNOCK ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-2103
Practice Address - Country:US
Practice Address - Phone:978-696-1880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN