Provider Demographics
NPI:1811315005
Name:DEHNEH, LYNN
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:DEHNEH
Suffix:
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 1:6 MACEK DR
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01013-3305
Mailing Address - Country:US
Mailing Address - Phone:413-575-5930
Mailing Address - Fax:
Practice Address - Street 1:6 MACEK DR
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013-3305
Practice Address - Country:US
Practice Address - Phone:413-575-5930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health