Provider Information for 1457478448
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HEATHER LYKAS LMHC
Other Names:Former Name:HEATHER LANDRY LMHCSex: Female
NPI: 1457478448
Last Updated: 2012-12-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1457478448 | ||||||||||||
| Enumeration Date | 2007-03-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 31 JOHN CLARKE RD MIDDLETOWN, RI 02842-5641 United States Phone: 401-848-4206 | Fax: | ||||||||||||
| Primary Practice Address | 687 HIGHLAND AVE NEEDHAM, MA 02494-2232 United States Phone: 800-455-8726 | Fax: | ||||||||||||
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