Provider Demographics
NPI:1265585210
Name:DORFMAN-VOLIN, LYNN (MSW,LMFT)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:
Last Name:DORFMAN-VOLIN
Suffix:
Gender:F
Credentials:MSW,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E LINTON BLVD
Mailing Address - Street 2:SUITE 154A
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3327
Mailing Address - Country:US
Mailing Address - Phone:561-243-1050
Mailing Address - Fax:561-243-1050
Practice Address - Street 1:100 E LINTON BLVD
Practice Address - Street 2:SUITE 154A
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3327
Practice Address - Country:US
Practice Address - Phone:561-243-1050
Practice Address - Fax:561-243-1050
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT00010691041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012469OtherHUMANA PSYCHCARE
FL119784OtherVALUE OPTIONS
FL62-19113OtherUBH UNITED HEALTH CARE
FL17167199OtherAETNA
FL119784OtherVALUE OPTIONS