Doctor Name: | DR. DAVID W LYNCH |
NPI Number: | 1336367721 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 0958 |
Business Practice Address: | 40354 210th St Huron, SD - 573507928 |
Business Phone Number: | 6053524368 |
Business Fax Number: | |
Mailing Address: | 635 Montana Ave Sw, HURON |
State: | SD |
Postal Code: | 573502327 |
Phone Number: | 6053505491 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 01/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0958 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |