Provider Demographics
NPI:1073382511
Name:MCDONALD, LYNN MARIE (LMSW, ACHP)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LMSW, ACHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32824 OUTLAND TRL
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-2552
Mailing Address - Country:US
Mailing Address - Phone:248-214-5134
Mailing Address - Fax:
Practice Address - Street 1:32824 OUTLAND TRL
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-2552
Practice Address - Country:US
Practice Address - Phone:248-214-5134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical