Provider Demographics
NPI:1356486724
Name:HOLLIDAY, LYNDA E (MA LMHC)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:E
Last Name:HOLLIDAY
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 LAUREL PARK
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-1196
Mailing Address - Country:US
Mailing Address - Phone:413-695-8312
Mailing Address - Fax:413-341-3630
Practice Address - Street 1:26 S PROSPECT ST
Practice Address - Street 2:SUITE #5
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2362
Practice Address - Country:US
Practice Address - Phone:413-695-8312
Practice Address - Fax:413-341-3630
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6465101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health