Provider Demographics
NPI:1639958580
Name:LUNSFORD, SHELBY LYNN (MS)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:LYNN
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 WEBSTER ST APT 302
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1269
Mailing Address - Country:US
Mailing Address - Phone:781-985-7428
Mailing Address - Fax:
Practice Address - Street 1:295 WEBSTER ST APT 302
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1269
Practice Address - Country:US
Practice Address - Phone:781-985-7428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor