1982873527 NPI number — MRS. NANCY R.MILLER LUNDEN LCSW

Table of content: MRS. NANCY R.MILLER LUNDEN LCSW (NPI 1982873527)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982873527 NPI number — MRS. NANCY R.MILLER LUNDEN LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LUNDEN
Provider First Name:
NANCY
Provider Middle Name:
R.MILLER
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982873527
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1111 ELM STREET
Provider Second Line Business Mailing Address:
SUITE 7,MAY INSTITUTE
Provider Business Mailing Address City Name:
WEST SPRINGFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01089
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-734-0300
Provider Business Mailing Address Fax Number:
413-734-0800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1111 ELM STREET
Provider Second Line Business Practice Location Address:
SUITE 7,MAY INSTITUTE
Provider Business Practice Location Address City Name:
WEST SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01089-1589
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-734-0300
Provider Business Practice Location Address Fax Number:
413-734-0800
Provider Enumeration Date:
02/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  2024598 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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