Provider Demographics
NPI:1467486894
Name:LYNCH, JULIA MARIE (BA)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 S 19TH ST
Mailing Address - Street 2:APARTMENT 2
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1859
Mailing Address - Country:US
Mailing Address - Phone:610-329-3383
Mailing Address - Fax:
Practice Address - Street 1:606 LOCUST ST
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2911
Practice Address - Country:US
Practice Address - Phone:412-675-8301
Practice Address - Fax:412-896-4956
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor