Provider Demographics
NPI:1679699409
Name:NIGHTINGALE, LUCINDA ANNE (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:LUCINDA
Middle Name:ANNE
Last Name:NIGHTINGALE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 SURRY ROAD
Mailing Address - Street 2:PO BOX 310
Mailing Address - City:GILSUM
Mailing Address - State:NH
Mailing Address - Zip Code:03448-0310
Mailing Address - Country:US
Mailing Address - Phone:603-252-9337
Mailing Address - Fax:
Practice Address - Street 1:206 ROXBURY STREET
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431
Practice Address - Country:US
Practice Address - Phone:603-357-8772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH78106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist