Provider Demographics
NPI:1598054876
Name:LYNN J. PIPER, PH.D., PLLC
Entity Type:Organization
Organization Name:LYNN J. PIPER, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIPER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCP
Authorized Official - Phone:703-424-0384
Mailing Address - Street 1:7019 BACKLICK CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151-3903
Mailing Address - Country:US
Mailing Address - Phone:703-424-0384
Mailing Address - Fax:703-562-8396
Practice Address - Street 1:7019 BACKLICK CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151-3903
Practice Address - Country:US
Practice Address - Phone:703-424-0384
Practice Address - Fax:703-562-8396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA08100003865103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty