| Organization Name: | DYNAMIC THERAPIES |
| NPI Number: | 1568704757 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNNE M GOODWIN (FAMILY THERAPIST) |
| Mailing Address: | 80 Shunpike Rd Suite 206 Cromwell |
| State: | CT US |
| Postal Code: | 064164401 |
| Phone Number: | 8605039927 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2013 |
| NPI Last Update Date: | 03/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 000777 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |