Healthcare Provider Details

I. General information

NPI: 1164164844
Provider Name (Legal Business Name): MARTINA CRANE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 E MAIN ST
WESTBOROUGH MA
01581-1464
US

IV. Provider business mailing address

57 E MAIN ST
WESTBOROUGH MA
01581-1464
US

V. Phone/Fax

Practice location:
  • Phone: 617-485-8281
  • Fax:
Mailing address:
  • Phone: 508-834-7413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10006012
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: