| Doctor Name: | DR. TIMOTHY RICHARD LYNCH |
| NPI Number: | 1174792097 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 1722 |
| Business Practice Address: | Naval Hospital, Camp Pendleton Bldg H100 Attention: Code 094 Camp Pendleton, CA - 920555191 |
| Business Phone Number: | 2104968050 |
| Business Fax Number: | 2104968970 |
| Mailing Address: | 28241 Paseo El Siena, LAGUNA NIGUEL |
| State: | CA |
| Postal Code: | 926774500 |
| Phone Number: | 9494811025 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2008 |
| NPI Last Update Date: | 02/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1722 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |