| Doctor Name: | LISA LYNN KYNVI |
| NPI Number: | 1134371149 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., MT-BC, LMHC |
| License Number: | LMHC 6740 |
| Business Practice Address: | 22 Royal Crest Dr Suite #1 Marlborough, MA - 017522421 |
| Business Phone Number: | 5083958712 |
| Business Fax Number: | |
| Mailing Address: | 22 Royal Crest Dr, Suite #1 MARLBOROUGH |
| State: | MA |
| Postal Code: | 017522421 |
| Phone Number: | 5083958712 |
| Fax Number: | |
| NPI Enumeration Date: | 10/21/2008 |
| NPI Last Update Date: | 10/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LMHC 6740 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |