Provider Demographics
NPI:1992396212
Name:DR. LYNN PSYCHOLOGY, PLLC
Entity Type:Organization
Organization Name:DR. LYNN PSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALADINO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:686-868-1974
Mailing Address - Street 1:424 MADISON AVE FL 16
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1137
Mailing Address - Country:US
Mailing Address - Phone:646-868-1974
Mailing Address - Fax:
Practice Address - Street 1:424 MADISON AVE FL 16
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1137
Practice Address - Country:US
Practice Address - Phone:646-868-1974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty