Provider Demographics
NPI:1285820795
Name:CUNNINGHAM, LYNN H (MA;MA; MSW; PHD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:H
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:MA;MA; MSW; PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 E MADISON ST STE 307
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4214
Mailing Address - Country:US
Mailing Address - Phone:206-370-1500
Mailing Address - Fax:
Practice Address - Street 1:2468 E HELEN ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-3616
Practice Address - Country:US
Practice Address - Phone:206-370-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW 60260211101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health