Provider Demographics
NPI:1134176431
Name:MARCINKO MCFARR, LYNN (PHD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:MARCINKO MCFARR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LYNN
Other - Middle Name:MARCINKO
Other - Last Name:MCFARR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:21840 NORMANDIE AVE
Mailing Address - Street 2:STE. 200
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2047
Mailing Address - Country:US
Mailing Address - Phone:310-222-2147
Mailing Address - Fax:310-320-7217
Practice Address - Street 1:21840 NORMANDIE AVE
Practice Address - Street 2:STE. 200
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2047
Practice Address - Country:US
Practice Address - Phone:310-222-2147
Practice Address - Fax:310-320-7217
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16799103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical