Provider Demographics
NPI:1568624211
Name:DOYLE, LYNDA A (EDD CLINICAL COUNSEL)
Entity Type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:A
Last Name:DOYLE
Suffix:
Gender:F
Credentials:EDD CLINICAL COUNSEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 FOREST FALLS DRIVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096
Mailing Address - Country:US
Mailing Address - Phone:207-846-6616
Mailing Address - Fax:207-772-6723
Practice Address - Street 1:60 FOREST FALLS DRIVE
Practice Address - Street 2:SUITE 4
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096
Practice Address - Country:US
Practice Address - Phone:207-846-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical