Provider Demographics
NPI:1982800579
Name:LOMBARDO, BERNADETTE (NMI) (MED, LMHC)
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:(NMI)
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01921-1835
Mailing Address - Country:US
Mailing Address - Phone:508-801-4402
Mailing Address - Fax:
Practice Address - Street 1:32 ROBERTS RD
Practice Address - Street 2:
Practice Address - City:BOXFORD
Practice Address - State:MA
Practice Address - Zip Code:01921-1835
Practice Address - Country:US
Practice Address - Phone:508-801-4402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5784101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health