Individual provider · Type 1 NPI
Lennon Micciulla, MA, LMFT
Student in an Organized Health Care Education/Training Program · Southamton, MA
NPI number
1528690146
Active
Practice location
20 Coleman Rd
Southamton, MA 01073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1528690146
Lennon Micciulla, MA, LMFT's National Provider Identifier is 1528690146, issued on Feb 11, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southamton, MA. The record was last updated on Aug 24, 2026.