Healthcare Provider Details

I. General information

NPI: 1174327712
Provider Name (Legal Business Name): LYNN MARIE CAWLEY PHD, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 E RIVERDALE AVE
ORANGE CA
92865-1306
US

IV. Provider business mailing address

622 E RIVERDALE AVE
ORANGE CA
92865-1306
US

V. Phone/Fax

Practice location:
  • Phone: 714-318-3489
  • Fax:
Mailing address:
  • Phone: 714-318-3489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT32353
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: