Provider Demographics
NPI:1467000331
Name:SEVARINO, ANNA LINNA JENNY (HIGH SCHOOL)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:LINNA JENNY
Last Name:SEVARINO
Suffix:
Gender:F
Credentials:HIGH SCHOOL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 LAMB ST # 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2939
Mailing Address - Country:US
Mailing Address - Phone:413-459-6384
Mailing Address - Fax:
Practice Address - Street 1:42 LAMB ST # 1
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-2939
Practice Address - Country:US
Practice Address - Phone:413-459-6384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician