Provider Demographics
NPI:1114141181
Name:HAWLEY, LINDA L (MED, LMHC)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:L
Last Name:HAWLEY
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 1:77 MILL ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-4598
Mailing Address - Country:US
Mailing Address - Phone:413-569-3135
Mailing Address - Fax:888-692-1163
Practice Address - Street 1:77 MILL ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-4598
Practice Address - Country:US
Practice Address - Phone:413-569-3135
Practice Address - Fax:888-692-1163
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3412101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000023559OtherBMC HEALTHNET PLAN
MALMO693OtherBLUE CROSS BLUE SHIELD
MA000000023559OtherMASS HEALTH COMMONWEALTH