Provider Demographics
NPI:1326175845
Name:ELLIOTT, LYNNE SAXON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:SAXON
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:L.
Other - Middle Name:SAXON
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:51 LOCUST ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2545
Mailing Address - Country:US
Mailing Address - Phone:413-570-0258
Mailing Address - Fax:413-241-8739
Practice Address - Street 1:51 LOCUST ST
Practice Address - Street 2:SUITE 5
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2545
Practice Address - Country:US
Practice Address - Phone:413-570-0258
Practice Address - Fax:413-241-8739
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2015-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9045103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical