Provider Demographics
NPI:1265583520
Name:WAPPLER, LYNN ANN (MS, LMHC)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:ANN
Last Name:WAPPLER
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15805 FENTON PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-1651
Mailing Address - Country:US
Mailing Address - Phone:813-760-4601
Mailing Address - Fax:813-265-4338
Practice Address - Street 1:5121 EHRLICH RD STE 112A
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2072
Practice Address - Country:US
Practice Address - Phone:813-760-4601
Practice Address - Fax:813-265-4338
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5893101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional