MEDICARE: DR. LYNNE E GOTJEN

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
1	101YM0800X	Mental Health Counselor	LMHC10005821	MA

General Provider Information

NPI Number	:	1821936543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNNE E GOTJEN

Provider Business Mailing Address
First Line	:	530 FERRY RD
Second Line	:
City	:	SACO
State	:	ME
Zip	:	04072-2216
Country	:	US
Telephone Number	:	207-766-0960
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 WHITNEY RD
Second Line	:
City	:	MEDFORD
State	:	MA
Zip	:	02155-2427
Country	:	US
Telephone Number	:	207-766-0960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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