Provider Demographics
NPI:1699814426
Name:BILLMAN-GOLEMME, LYN C (MHC, M&FT, LCSW, RN)
Entity Type:Individual
Prefix:
First Name:LYN
Middle Name:C
Last Name:BILLMAN-GOLEMME
Suffix:
Gender:F
Credentials:MHC, M&FT, LCSW, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 RUGGLES ST
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-3525
Mailing Address - Country:US
Mailing Address - Phone:508-366-6800
Mailing Address - Fax:
Practice Address - Street 1:114 RUGGLES ST
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-3525
Practice Address - Country:US
Practice Address - Phone:508-366-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1812101YM0800X
MA2033981041C0700X
MA581106H00000X
MA169495163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered163W00000XNursing Service ProvidersRegistered Nurse