Provider Demographics
NPI:1174997464
Name:LYNESS, D'ARCY (PHD)
Entity type:Individual
Prefix:DR
First Name:D'ARCY
Middle Name:
Last Name:LYNESS
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 1:433 CONESTOGA RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4811
Mailing Address - Country:US
Mailing Address - Phone:610-687-2929
Mailing Address - Fax:
Practice Address - Street 1:107 W LANCASTER AVE
Practice Address - Street 2:#206
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3330
Practice Address - Country:US
Practice Address - Phone:610-687-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS009082L103TB0200X, 103T00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent