Provider Demographics
NPI:1629284070
Name:BOHECKER, LYNN (PHD LMFT)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:BOHECKER
Suffix:
Gender:F
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3852 N EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-0750
Mailing Address - Country:US
Mailing Address - Phone:208-378-0014
Mailing Address - Fax:
Practice Address - Street 1:3852 N EAGLE RD
Practice Address - Street 2:SUITE 168
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-0750
Practice Address - Country:US
Practice Address - Phone:208-954-6272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMFT-4658106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist