Ilene Lori Fiedler | Watertown, MA • PECOS Search

Ilene Lori Fiedler

Counselor

Behavioral Health & Social Service Providers

127 N Beacon St, Watertown, MA 02472-2712

PECOS Enrollment

Based on the most recent information from CMS, provider Ilene Lori Fiedler does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215001409
Provider Type
Individual
Full Name
Fiedler, Ilene Lori
Title
Ms.
Credential
MA, LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
11/20/2006
Last Updated
4/21/2010

Contact Information

Practice Location

127 N Beacon St, Watertown, MA 02472-2712

Unlisted Fax

Mailing Location

127 N Beacon St, #1, Watertown, MA 02472-2712

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LMHC # 625 Massachusetts