Provider Demographics
NPI:1760452692
Name:RINN, WILLIAM E (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:RINN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:43 MYSTIC VALLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2922
Mailing Address - Country:US
Mailing Address - Phone:617-573-2707
Mailing Address - Fax:617-573-7009
Practice Address - Street 1:125 NASHUA ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-1101
Practice Address - Country:US
Practice Address - Phone:617-573-2707
Practice Address - Fax:617-573-7009
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3677103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0514683Medicaid
MAW03794OtherBCBS MA
MAW0379402Medicare PIN