Doctor Name: | MRS. LYNN MARY LIBBY |
NPI Number: | 1003958133 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDS,LPC |
License Number: | 37PC00038500 |
Business Practice Address: | 2 Tree Farm Rd Suite 210 Pennington, NJ - 085341435 |
Business Phone Number: | 6093338588 |
Business Fax Number: | |
Mailing Address: | 2 Sunrise Ave, HOPEWELL |
State: | NJ |
Postal Code: | 085251316 |
Phone Number: | 6093338588 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 09/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00038500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |