Provider Demographics
NPI:1154451169
Name:ADAMS, LYNN WILDER (PHD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:WILDER
Last Name:ADAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LYNN
Other - Middle Name:ADAMS
Other - Last Name:LELONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:1539 JACKSON AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5858
Mailing Address - Country:US
Mailing Address - Phone:504-581-3933
Mailing Address - Fax:504-596-3933
Practice Address - Street 1:1539 JACKSON AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5858
Practice Address - Country:US
Practice Address - Phone:504-581-3933
Practice Address - Fax:504-596-3933
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA874103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical