MEDICARE: PAULA JO LYNCH LPC, ATR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC017389	PA

General Provider Information

NPI Number	:	1205675550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA JO LYNCH LPC, ATR

Provider Business Mailing Address
First Line	:	127 JEFFERSON ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-1108
Country	:	US
Telephone Number	:	814-350-1657
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 JEFFERSON ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-1108
Country	:	US
Telephone Number	:	814-350-1657
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2024
Last Update Date	:	04/09/2026

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