Provider Demographics
NPI:1205022670
Name:SHIRAR, LYNDA (MS)
Entity Type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:
Last Name:SHIRAR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1753
Mailing Address - Country:US
Mailing Address - Phone:717-261-7879
Mailing Address - Fax:717-263-4491
Practice Address - Street 1:62 5TH AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1753
Practice Address - Country:US
Practice Address - Phone:717-261-7879
Practice Address - Fax:717-263-4491
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000433106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist