Provider Demographics
NPI:1790126449
Name:SHAUGHNESSY, LYNN W (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:W
Last Name:SHAUGHNESSY
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Gender:F
Credentials:PSYD
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Mailing Address - Street 1:365 EAST ST
Mailing Address - Street 2:TEWKSBURY HOSPITAL - DMH PSYCHOLOGY
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-1950
Mailing Address - Country:US
Mailing Address - Phone:978-851-7321
Mailing Address - Fax:978-851-1027
Practice Address - Street 1:365 EAST ST
Practice Address - Street 2:TEWKSBURY HOSPITAL - DMH PSYCHOLOGY
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1950
Practice Address - Country:US
Practice Address - Phone:978-851-7321
Practice Address - Fax:978-851-1027
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA9687103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical