Provider Demographics
NPI:1073671020
Name:ROSSY, LYNN ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ANN
Last Name:ROSSY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 HOSPITAL DR
Mailing Address - Street 2:DC800.00
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65212-0001
Mailing Address - Country:US
Mailing Address - Phone:573-882-5461
Mailing Address - Fax:573-884-1811
Practice Address - Street 1:1101 HOSPITAL DR
Practice Address - Street 2:DC800.00
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-0001
Practice Address - Country:US
Practice Address - Phone:573-882-5461
Practice Address - Fax:573-884-1811
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003023866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health