Provider Demographics
NPI:1730302043
Name:DUBINSKY, LYNN CONRAD (PHD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:CONRAD
Last Name:DUBINSKY
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:PO BOX 774746
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-4746
Mailing Address - Country:US
Mailing Address - Phone:970-879-8664
Mailing Address - Fax:
Practice Address - Street 1:100 PARK AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-5012
Practice Address - Country:US
Practice Address - Phone:970-879-8664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPY00026103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical