Provider Demographics
NPI:1073666384
Name:TESTO, LUCINDA ELIZABETH (LPC)
Entity Type:Individual
Prefix:MS
First Name:LUCINDA
Middle Name:ELIZABETH
Last Name:TESTO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 SURREY DR
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4064
Mailing Address - Country:US
Mailing Address - Phone:203-772-5945
Mailing Address - Fax:
Practice Address - Street 1:350 SILAS DEANE HWY
Practice Address - Street 2:SUITE 303
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-1700
Practice Address - Country:US
Practice Address - Phone:860-759-8703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001512101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional