Provider Demographics
NPI:1356007678
Name:AUSTIN, LYNN (PHD HSPP)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:PHD HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 STATE ROAD 135 N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47448-8419
Mailing Address - Country:US
Mailing Address - Phone:812-720-0480
Mailing Address - Fax:
Practice Address - Street 1:1632 STATE ROAD 135 N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:IN
Practice Address - Zip Code:47448-8419
Practice Address - Country:US
Practice Address - Phone:812-720-0480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist