Provider Demographics
NPI:1518011220
Name:LYNNFIELD PSYCHOLOGICAL ASSOCIATES, PC
Entity Type:Organization
Organization Name:LYNNFIELD PSYCHOLOGICAL ASSOCIATES, PC
Other - Org Name:LYNNFIELD PSYCHOLOGICAL ASSOCIATES, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:STEPHAN
Authorized Official - Last Name:ADAMCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:781-334-2644
Mailing Address - Street 1:180 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-2514
Mailing Address - Country:US
Mailing Address - Phone:781-334-2644
Mailing Address - Fax:
Practice Address - Street 1:180 MAIN ST
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-2514
Practice Address - Country:US
Practice Address - Phone:781-334-2644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health