Provider Demographics
NPI:1770882235
Name:MARKMAN, LYNNE KLEIMAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:KLEIMAN
Last Name:MARKMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 MORGAN RD
Mailing Address - Street 2:
Mailing Address - City:RYDAL
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3028
Mailing Address - Country:US
Mailing Address - Phone:215-887-9301
Mailing Address - Fax:
Practice Address - Street 1:900 MORGAN RD
Practice Address - Street 2:
Practice Address - City:RYDAL
Practice Address - State:PA
Practice Address - Zip Code:19046-3028
Practice Address - Country:US
Practice Address - Phone:215-887-9301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015094103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist