Provider Demographics
NPI:1629415666
Name:LUFKIN, LINDA (MA)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:LUFKIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:LIN
Other - Middle Name:
Other - Last Name:LUFKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:467 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1121
Mailing Address - Country:US
Mailing Address - Phone:774-259-5580
Mailing Address - Fax:
Practice Address - Street 1:467 N ELM ST
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1121
Practice Address - Country:US
Practice Address - Phone:774-259-5580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health