Provider Demographics
NPI:1255843157
Name:LINNELL, PAULINE
Entity Type:Individual
Prefix:MRS
First Name:PAULINE
Middle Name:
Last Name:LINNELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:PAULINE
Other - Middle Name:
Other - Last Name:PICHON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:231 ROUTE 28 APT 18
Mailing Address - Street 2:
Mailing Address - City:WEST HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02671-1217
Mailing Address - Country:US
Mailing Address - Phone:925-961-2512
Mailing Address - Fax:
Practice Address - Street 1:231 ROUTE 28 APT 18
Practice Address - Street 2:
Practice Address - City:WEST HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02671-1217
Practice Address - Country:US
Practice Address - Phone:925-961-2512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst