Doctor Name: | MR. BRUCE A. LYNCH |
NPI Number: | 1508100090 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, NCAC, CAC II |
License Number: | 5687 |
Business Practice Address: | 1018 16th Ave Nw Suite #1 Surfside Beach, SC - 295758269 |
Business Phone Number: | 8434243485 |
Business Fax Number: | 8884307476 |
Mailing Address: | Po Box 2856, MYRTLE BEACH |
State: | SC |
Postal Code: | 295782856 |
Phone Number: | 8434243485 |
Fax Number: | 8884307476 |
NPI Enumeration Date: | 11/21/2012 |
NPI Last Update Date: | 07/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5687 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |