Provider Demographics
NPI:1578624904
Name:GILMAN, LYNN B (MA)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:B
Last Name:GILMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3208 NW 60TH
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2609
Mailing Address - Country:US
Mailing Address - Phone:206-784-7938
Mailing Address - Fax:206-782-0485
Practice Address - Street 1:3208 NW 60TH
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-2609
Practice Address - Country:US
Practice Address - Phone:206-784-7938
Practice Address - Fax:206-782-0485
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003876101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health