Provider Demographics
NPI:1457483075
Name:LYNCH, TONI (PSC II)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:PSC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 MARINA VILLAGE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-6427
Mailing Address - Country:US
Mailing Address - Phone:510-747-0527
Mailing Address - Fax:510-337-7969
Practice Address - Street 1:795 WILLOW RD
Practice Address - Street 2:BUILDING 94605
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-2539
Practice Address - Country:US
Practice Address - Phone:650-617-0580
Practice Address - Fax:650-617-0587
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor