Provider Demographics
NPI:1962412841
Name:HALL, KATHY LYNN (LMHC)
Entity type:Individual
Prefix:MS
First Name:KATHY
Middle Name:LYNN
Last Name:HALL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
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Mailing Address - Street 1:31 LAKE ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-3879
Mailing Address - Country:US
Mailing Address - Phone:978-894-3545
Mailing Address - Fax:978-919-8018
Practice Address - Street 1:31 LAKE ST
Practice Address - Street 2:SUITE 110
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3879
Practice Address - Country:US
Practice Address - Phone:978-894-3545
Practice Address - Fax:978-919-8018
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2015-04-30
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health