Healthcare Provider Details

I. General information

NPI: 1285115535
Provider Name (Legal Business Name): LINDA MARIE PUZAN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2018
Last Update Date: 08/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MUNSON ST STE 201
GREENFIELD MA
01301-9675
US

IV. Provider business mailing address

101 MUNSON ST STE 201
GREENFIELD MA
01301-9675
US

V. Phone/Fax

Practice location:
  • Phone: 413-773-5555
  • Fax: 413-772-1084
Mailing address:
  • Phone: 413-773-5555
  • Fax: 413-772-1084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1028268
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: