Doctor Name: | DR. MICHELLE (SHELLEY) A LYNCH |
NPI Number: | 1104098417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LMHC |
License Number: | MH4585 |
Business Practice Address: | 341 N Maitland Ave Suite 270 Maitland, FL - 327514783 |
Business Phone Number: | 4076475448 |
Business Fax Number: | |
Mailing Address: | 341 N Maitland Ave, Suite 270 MAITLAND |
State: | FL |
Postal Code: | 327514783 |
Phone Number: | 4076475448 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2008 |
NPI Last Update Date: | 03/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH4585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |