Provider Demographics
NPI:1477698546
Name:KARJALA, LYNN MARY (PHD)
Entity Type:Individual
Prefix:DR
First Name:LYNN MARY
Middle Name:
Last Name:KARJALA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1150
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30077-1150
Mailing Address - Country:US
Mailing Address - Phone:770-754-0751
Mailing Address - Fax:
Practice Address - Street 1:11195 HEMBREE SPRINGS DR
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-1233
Practice Address - Country:US
Practice Address - Phone:770-754-0751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY001128103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA68BBCLTMedicare ID - Type Unspecified