Healthcare Provider Details

I. General information

NPI: 1902716350
Provider Name (Legal Business Name): VICKY E LYNCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 BEMIS RD
YPSILANTI MI
48197-9261
US

IV. Provider business mailing address

545 ELDER ST
YPSILANTI MI
48197-5140
US

V. Phone/Fax

Practice location:
  • Phone: 734-484-7033
  • Fax:
Mailing address:
  • Phone: 267-968-2301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: