MEDICARE: DR. LYNN PERRYMAN HAYE PH.D.

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	103TC0700X	Clinical Psychologist	PSY5244	CA

General Provider Information

NPI Number	:	1770939514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN PERRYMAN HAYE PH.D.

Provider Business Mailing Address
First Line	:	6301 TURNBERRY CIR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-5584
Country	:	US
Telephone Number	:	714-536-3742
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 TURNBERRY CIR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-5584
Country	:	US
Telephone Number	:	714-625-2832
Fax Number	:

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

Provider Enumeration Date	:	05/11/2016
Last Update Date	:	05/11/2016

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