MEDICARE: LYNN ANN WAPPLER M.S., LMHC

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	MH5893	FL

General Provider Information

NPI Number	:	1265583520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN ANN WAPPLER M.S., LMHC

Provider Business Mailing Address
First Line	:	15805 FENTON PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-1651
Country	:	US
Telephone Number	:	813-760-4601
Fax Number	:	813-265-4338

Provider Business Practice Location Address
First Line	:	5121 EHRLICH RD STE 112A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-2072
Country	:	US
Telephone Number	:	813-760-4601
Fax Number	:	813-265-4338

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

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	07/08/2007

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