Provider Demographics
NPI:1023458981
Name:FROYEN-LYNCH, LAURA CHRISTINE (LLMFT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:CHRISTINE
Last Name:FROYEN-LYNCH
Suffix:
Gender:F
Credentials:LLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4123 OKEMOS RD
Mailing Address - Street 2:14
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-2818
Mailing Address - Country:US
Mailing Address - Phone:989-464-2167
Mailing Address - Fax:517-347-7736
Practice Address - Street 1:4123 OKEMOS RD
Practice Address - Street 2:14
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-2818
Practice Address - Country:US
Practice Address - Phone:989-464-2167
Practice Address - Fax:517-347-7736
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006572106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist