Provider Demographics
NPI:1659576502
Name:O'HAGAN-LYNCH, MARGARET ANN (LPC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:O'HAGAN-LYNCH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 WOODHOUSE AVE
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-4928
Mailing Address - Country:US
Mailing Address - Phone:203-294-4291
Mailing Address - Fax:203-294-4291
Practice Address - Street 1:116 S MAIN ST
Practice Address - Street 2:THE CARRIAGE HOUSE
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-4217
Practice Address - Country:US
Practice Address - Phone:203-294-4291
Practice Address - Fax:203-294-4291
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001043101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT240001043CT01OtherANTHEM BCBS PIN#