Provider Demographics
NPI:1306214853
Name:KEARNEY, LYNELLE SCHEID (MA)
Entity Type:Individual
Prefix:
First Name:LYNELLE
Middle Name:SCHEID
Last Name:KEARNEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:LYNELLE
Other - Middle Name:
Other - Last Name:SCHEID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7679 YORKTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-7803
Mailing Address - Country:US
Mailing Address - Phone:253-225-1105
Mailing Address - Fax:
Practice Address - Street 1:7679 YORKTOWN AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-7803
Practice Address - Country:US
Practice Address - Phone:253-225-1105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61024587106H00000X
CALMFT127994106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist