Provider Demographics
NPI:1760513493
Name:ROBINSON-HIDAS, LINDA (LIC AC MS DIPLAC &CH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:ROBINSON-HIDAS
Suffix:
Gender:F
Credentials:LIC AC MS DIPLAC &CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:479 WEST ST STE 4
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2904
Mailing Address - Country:US
Mailing Address - Phone:413-253-2900
Mailing Address - Fax:
Practice Address - Street 1:479 WEST ST STE 4
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2904
Practice Address - Country:US
Practice Address - Phone:413-253-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA337171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist