Provider Demographics
NPI:1316386238
Name:LYNCH, LAUREN REDFIELD (MSE, PD)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:REDFIELD
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MSE, PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 BLEECKER ST
Mailing Address - Street 2:APT 9DE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-1541
Mailing Address - Country:US
Mailing Address - Phone:203-988-1725
Mailing Address - Fax:
Practice Address - Street 1:160 BLEECKER ST
Practice Address - Street 2:APT 9DE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-1541
Practice Address - Country:US
Practice Address - Phone:203-988-1725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool