Provider Demographics
NPI:1396112652
Name:LINCOLN, DEBBY LYN I
Entity type:Individual
Prefix:MS
First Name:DEBBY
Middle Name:LYN
Last Name:LINCOLN
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 MAIN ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:ATHOL
Mailing Address - State:MA
Mailing Address - Zip Code:01331-1846
Mailing Address - Country:US
Mailing Address - Phone:978-249-3141
Mailing Address - Fax:978-249-3139
Practice Address - Street 1:491 MAIN ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:ATHOL
Practice Address - State:MA
Practice Address - Zip Code:01331-1846
Practice Address - Country:US
Practice Address - Phone:978-249-3141
Practice Address - Fax:978-249-3139
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)