Doctor Name: | MS. DEBBY LYN LINCOLN |
NPI Number: | 1396112652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 491 Main St 3rd Floor Athol, MA - 013311846 |
Business Phone Number: | 9782493141 |
Business Fax Number: | 9782493139 |
Mailing Address: | 491 Main St, 3rd Floor ATHOL |
State: | MA |
Postal Code: | 013311846 |
Phone Number: | 9782493141 |
Fax Number: | 9782493139 |
NPI Enumeration Date: | 08/21/2015 |
NPI Last Update Date: | 08/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |