Provider Demographics
NPI:1023223583
Name:FIELD, LYNDA D (PHD)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:D
Last Name:FIELD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 LEONARD RD
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3915
Mailing Address - Country:US
Mailing Address - Phone:617-573-8226
Mailing Address - Fax:
Practice Address - Street 1:SUFFOLK UNIVERSITY COUNSELING CENTER
Practice Address - Street 2:73 TREMONT ST. , 5TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108
Practice Address - Country:US
Practice Address - Phone:617-573-8226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6516103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent