MEDICARE: MARY BETH LEAN PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	6839	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750384467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY BETH LEAN PSY.D.

Provider Business Mailing Address
First Line	:	8 SHOAL HOPE DR
Second Line	:
City	:	WEST HARWICH
State	:	MA
Zip	:	02671-1615
Country	:	US
Telephone Number	:	508-430-8672
Fax Number	:	508-430-9821

Provider Business Practice Location Address
First Line	:	537 ROUTE 28
Second Line	:	STE 2G
City	:	HARWICH PORT
State	:	MA
Zip	:	02646-1894
Country	:	US
Telephone Number	:	508-430-8672
Fax Number	:	508-430-9821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1558571901 — MARIAN D LALEVEE, MS RD CDE LDN LLC
Practice Location Address:

537 ROUTE 28 , PORT CENTRE BLDG., SUITE 2 G
HARWICH PORT, MA
02646-1894

Practice Phone: 508-945-3897
Practice Fax: 508-945-1768

1689879504 — MRS. DONNA-LEE GIOIA LMT
Practice Location Address:

1894 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL
34952-5545

Practice Phone: 772-398-1433
Practice Fax:

1497922538 — BAYSHORE RESIDENCE ALF
Practice Location Address:

686 SW LUCERO DR
PORT SAINT LUCIE, FL
34983-1894

Practice Phone: 772-871-1106
Practice Fax: 772-871-1104

1427309913 — MS. DENISE ARNIESHA CRAIG M.S
Practice Location Address:

1894 SE GRAND DR
PORT ST LUCIE, FL
34952-7794

Practice Phone: 772-600-6001
Practice Fax:

1023489044 — MEADOW CARE ASSISTED LIVING FACILITY
Practice Location Address:

686 SW LUCERO DR
PORT SAINT LUCIE, FL
34983-1894

Practice Phone: 772-237-5253
Practice Fax:

1629869078 — DANIEL & MAX, LLC
Practice Location Address:

1894 SW GATLIN BLVD
PORT ST. LUCIE, FL
34953

Practice Phone: 877-350-3399
Practice Fax:

Directions to “ MARY BETH LEAN PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.