Individual
DR. LYNNEURIE CARABALLO LUCCIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 MAIN ST, SPRINGFIELD, MA 01104-3301
(413) 736-0395
Mailing address
2155 MAIN ST, SPRINGFIELD, MA 01104
(787) 678-4210
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5183
PR
Other
Enumeration date
08/02/2013
Last updated
09/15/2021
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