Provider Demographics
NPI:1952448458
Name:LYNAR, MEREDITH DIANA
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:DIANA
Last Name:LYNAR
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 1:404 MERCER CT
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-1688
Mailing Address - Country:US
Mailing Address - Phone:908-852-1737
Mailing Address - Fax:
Practice Address - Street 1:110 MOUNTAIN CT # A
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2317
Practice Address - Country:US
Practice Address - Phone:908-303-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052865001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical