Provider Demographics
NPI:1669688107
Name:MEYER, LYNNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:LY NNE
Other - Middle Name:
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:9171 WILSHIRE BOULEVARD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-288-0708
Mailing Address - Fax:
Practice Address - Street 1:1244 S ORANGE DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-1544
Practice Address - Country:US
Practice Address - Phone:310-897-8760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15605103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical