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NPI Code Detail

MEDICARE: LINDA A MASSA LCSW

MEDICARE: LINDA A MASSA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorCW013867PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1346881000OTHERPAMAGELLAN MIS #
201661641OTHERPAINDEPENDENCE BLUE CROSS

General Provider Information

NPI Number : 1427008358
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA A MASSA LCSW
Provider Business Mailing Address
First Line : 20 OXFORD CIR
Second Line :
City : HORSHAM
State : PA
Zip : 19044-1027
Country : US
Telephone Number : 215-641-9404
Fax Number :
Provider Business Practice Location Address
First Line : 100 LEVITTOWN PKWY
Second Line :
City : LEVITTOWN
State : PA
Zip : 19054-3502
Country : US
Telephone Number : 215-945-2550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 03/20/2015

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