Provider Demographics
NPI:1710228010
Name:TUMBARELLO, LINDA N (LMHC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:N
Last Name:TUMBARELLO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16 CENTER ST
Mailing Address - Street 2:SUITE 530
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3589
Mailing Address - Country:US
Mailing Address - Phone:413-586-5971
Mailing Address - Fax:413-584-4313
Practice Address - Street 1:16 CENTER ST
Practice Address - Street 2:SUITE 530
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3589
Practice Address - Country:US
Practice Address - Phone:413-586-5971
Practice Address - Fax:413-584-4313
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1365101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000034541001OtherRENDERING PROVIDER NUMBER FROM UNITED BEHAVIORAL HEALTH