Doctor Name: | THOMAS LYNCH |
NPI Number: | 1003082686 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | MFC 44816 |
Business Practice Address: | 2120 Thibodo Court Suite #230 Vista, CA - 92085 |
Business Phone Number: | 8582791223 |
Business Fax Number: | 6195164757 |
Mailing Address: | 4550 Kearny Villa Rd, Suite 116 SAN DIEGO |
State: | CA |
Postal Code: | 92123 |
Phone Number: | 8582791223 |
Fax Number: | 6195164757 |
NPI Enumeration Date: | 05/05/2008 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC 44816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |