Provider Demographics
NPI:1518077478
Name:LYNCH, BARTON DANIEL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BARTON
Middle Name:DANIEL
Last Name:LYNCH
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CAPTAIN DR
Mailing Address - Street 2:361
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1744
Mailing Address - Country:US
Mailing Address - Phone:510-390-4586
Mailing Address - Fax:
Practice Address - Street 1:2910 CAMINO DIABLO
Practice Address - Street 2:200
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3997
Practice Address - Country:US
Practice Address - Phone:925-947-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 20976103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical