Provider Demographics
NPI:1326115502
Name:HEYMEN, LYNDA R (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:R
Last Name:HEYMEN
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 1:2304 WESVILL CT
Mailing Address - Street 2:SUITE 280
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-2973
Mailing Address - Country:US
Mailing Address - Phone:919-786-9799
Mailing Address - Fax:919-786-6009
Practice Address - Street 1:2304 WESVILL CT
Practice Address - Street 2:SUITE 280
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-2973
Practice Address - Country:US
Practice Address - Phone:919-786-9799
Practice Address - Fax:919-786-6009
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2523103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC045HMOtherBCBS PROVIDER NUMBER
NC2819832Medicare ID - Type Unspecified