| Organization Name: | LYNN M. WILBY LLC |
| NPI Number: | 1003228453 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNN M. WILBY (PRESIDENT) |
| Mailing Address: | 1 Britton Pl Ste 6 Voorhees |
| State: | NJ US |
| Postal Code: | 080432514 |
| Phone Number: | 2153169434 |
| Fax Number: | 8568640310 |
| NPI Enumeration Date: | 05/20/2014 |
| NPI Last Update Date: | 05/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |