Doctor Name: | MS. MICHELINE LYNCEE |
NPI Number: | 1427487511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 678233796 |
Business Practice Address: | 2907 N Boulevard Tampa, FL - 336021207 |
Business Phone Number: | 8132215114 |
Business Fax Number: | 8132214744 |
Mailing Address: | 2907 N Boulevard, TAMPA |
State: | FL |
Postal Code: | 336021207 |
Phone Number: | 8132215114 |
Fax Number: | 8132214744 |
NPI Enumeration Date: | 11/08/2013 |
NPI Last Update Date: | 11/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 678233796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |