Provider Demographics
NPI:1598130270
Name:LYNCH, VERONICA CRAWFORD (PHD)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:CRAWFORD
Last Name:LYNCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 CABIN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1837
Mailing Address - Country:US
Mailing Address - Phone:301-332-2657
Mailing Address - Fax:
Practice Address - Street 1:2824 CABIN CREEK DR
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-1837
Practice Address - Country:US
Practice Address - Phone:301-332-2657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD167981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical