Provider Demographics
NPI:1851440119
Name:LYNCH, CATHLEEN MARGARET
Entity Type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:MARGARET
Last Name:LYNCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14200 ROYAL OAK LN
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-3603
Mailing Address - Country:US
Mailing Address - Phone:703-266-2210
Mailing Address - Fax:
Practice Address - Street 1:5120 1ST RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-5728
Practice Address - Country:US
Practice Address - Phone:703-691-1685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health