Provider Demographics
NPI:1215965678
Name:WHITTLESEY, LINDA BELDING (MA,LMHC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:BELDING
Last Name:WHITTLESEY
Suffix:
Gender:F
Credentials:MA,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 ROUTE 149
Mailing Address - Street 2:
Mailing Address - City:MARSTONS MILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02648-1834
Mailing Address - Country:US
Mailing Address - Phone:508-428-3698
Mailing Address - Fax:508-428-0005
Practice Address - Street 1:230 ROUTE 149
Practice Address - Street 2:
Practice Address - City:MARSTONS MILLS
Practice Address - State:MA
Practice Address - Zip Code:02648-1834
Practice Address - Country:US
Practice Address - Phone:508-428-3698
Practice Address - Fax:508-428-0005
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA683101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1891588Medicaid