Provider Demographics
NPI:1194834788
Name:LYNCH, DARINA M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DARINA
Middle Name:M
Last Name:LYNCH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 DARLENE AVE
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-9133
Mailing Address - Country:US
Mailing Address - Phone:978-270-5646
Mailing Address - Fax:
Practice Address - Street 1:1004 DARLENE AVE
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-9133
Practice Address - Country:US
Practice Address - Phone:978-270-5646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015051103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical