Provider Demographics
NPI:1942360631
Name:LYNN, LORI (MA, LPC, CSW)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:LYNN
Suffix:
Gender:F
Credentials:MA, LPC, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 LITTLETON RD STE 305
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1867
Mailing Address - Country:US
Mailing Address - Phone:908-455-1058
Mailing Address - Fax:888-834-0604
Practice Address - Street 1:140 LITTLETON RD STE 305
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1867
Practice Address - Country:US
Practice Address - Phone:908-455-1058
Practice Address - Fax:888-834-0604
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00330000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0162086OtherNJ LICENSE 37PC00330000