| Doctor Name: | MRS. LYNDSAY BOHANNON |
| NPI Number: | 1154673382 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LLP |
| License Number: | 6301014735 |
| Business Practice Address: | 45 N Lapeer St Lake Orion, MI - 483623159 |
| Business Phone Number: | 2486939614 |
| Business Fax Number: | |
| Mailing Address: | 45 N Lapeer St, LAKE ORION |
| State: | MI |
| Postal Code: | 483623159 |
| Phone Number: | 2486939614 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2012 |
| NPI Last Update Date: | 10/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 6301014735 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |