Doctor Name: | HENRY FAIRFAX LYNN |
NPI Number: | 1700071230 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., ED.S. |
License Number: | 20024 |
Business Practice Address: | 36 Rush No More Ln Berkeley Springs, WV - 254116980 |
Business Phone Number: | 3042798787 |
Business Fax Number: | |
Mailing Address: | 36 Rush No More Ln, BERKELEY SPRINGS |
State: | WV |
Postal Code: | 254116980 |
Phone Number: | 3042798787 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2007 |
NPI Last Update Date: | 09/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 20024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |