Provider Demographics
NPI:1700093945
Name:BULGER, LYNN FRANCES (PHD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:FRANCES
Last Name:BULGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 18TH ST NW
Mailing Address - Street 2:# 205
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036
Mailing Address - Country:US
Mailing Address - Phone:202-296-5005
Mailing Address - Fax:202-296-5077
Practice Address - Street 1:1325 18TH ST NW
Practice Address - Street 2:# 205
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-296-5005
Practice Address - Fax:202-296-5077
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1762103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical