Provider Demographics
NPI:1922239359
Name:LYNCH, JAMES P (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:LYNCH
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 N LINCOLN AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-2782
Mailing Address - Country:US
Mailing Address - Phone:773-929-1807
Mailing Address - Fax:
Practice Address - Street 1:2518 N LINCOLN AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-2782
Practice Address - Country:US
Practice Address - Phone:773-929-1807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist