Provider Demographics
NPI:1043474992
Name:ONOFREI, LYDIA RUTH
Entity Type:Individual
Prefix:MISS
First Name:LYDIA
Middle Name:RUTH
Last Name:ONOFREI
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:LYDIA
Other - Middle Name:RUTH
Other - Last Name:CUTHRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:90 BRAINERD RD
Mailing Address - Street 2:APARTMENT 1
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-4532
Mailing Address - Country:US
Mailing Address - Phone:617-232-4003
Mailing Address - Fax:
Practice Address - Street 1:1493 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-1047
Practice Address - Country:US
Practice Address - Phone:617-665-1185
Practice Address - Fax:617-665-3449
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical