Provider Demographics
NPI:1912232968
Name:BYRNE, MAUREEN ELLEN (MED)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ELLEN
Last Name:BYRNE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-4006
Mailing Address - Country:US
Mailing Address - Phone:978-374-0414
Mailing Address - Fax:978-374-7615
Practice Address - Street 1:60 MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6207
Practice Address - Country:US
Practice Address - Phone:978-374-0414
Practice Address - Fax:978-374-7615
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor