Provider Demographics
NPI:1578541298
Name:GODMILOW, LYNN (MSW)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:GODMILOW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 S BOWMAN AVE
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1421
Mailing Address - Country:US
Mailing Address - Phone:610-667-5866
Mailing Address - Fax:610-660-9292
Practice Address - Street 1:3400 SPRUCE ST
Practice Address - Street 2:ROOM 538 MALONEY BUILDING
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4206
Practice Address - Country:US
Practice Address - Phone:215-662-4740
Practice Address - Fax:215-614-0298
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS