Provider Demographics
NPI:1588751531
Name:PEARY, DONNA-MARIE (LMHC)
Entity type:Individual
Prefix:
First Name:DONNA-MARIE
Middle Name:
Last Name:PEARY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BLUEBERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-5209
Mailing Address - Country:US
Mailing Address - Phone:781-775-1467
Mailing Address - Fax:
Practice Address - Street 1:661 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE # 14
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-5000
Practice Address - Country:US
Practice Address - Phone:781-775-1467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5188101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA348867OtherTRICARE MANAGED HEALTH NE
MA4210814OtherCIGNA
MALM1092OtherBLUE CROSS/BLUE SHIELD
MA7315588OtherAETNA