Provider Demographics
NPI:1346566270
Name:LYNCH, TAMMY (MA)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 DARTMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-3643
Mailing Address - Country:US
Mailing Address - Phone:617-908-6083
Mailing Address - Fax:
Practice Address - Street 1:67 DARTMOUTH ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-3643
Practice Address - Country:US
Practice Address - Phone:617-908-6083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health