Provider Demographics
NPI:1215537774
Name:LIMA, LUCIANO (PSYD)
Entity type:Individual
Prefix:DR
First Name:LUCIANO
Middle Name:
Last Name:LIMA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 EDDY ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2132
Mailing Address - Country:US
Mailing Address - Phone:617-433-8066
Mailing Address - Fax:
Practice Address - Street 1:1680A BEACON ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-2180
Practice Address - Country:US
Practice Address - Phone:617-433-8066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist