Provider Demographics
NPI:1033687603
Name:KEMP, LYNDA (LPCC)
Entity Type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:
Last Name:KEMP
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45403-2829
Mailing Address - Country:US
Mailing Address - Phone:303-995-6530
Mailing Address - Fax:
Practice Address - Street 1:8559 S MASON MONTGOMERY RD STE 25
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9381
Practice Address - Country:US
Practice Address - Phone:513-229-8980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-12
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1600579101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health