Healthcare Provider Details

I. General information

NPI: 1710933056
Provider Name (Legal Business Name): LYNNE J FREEMAN KIRNON PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 WOODBOURNE RD STE 104
LANGHORNE PA
19047-1820
US

IV. Provider business mailing address

292 SEQUOIA DR
NEWTOWN PA
18940-9275
US

V. Phone/Fax

Practice location:
  • Phone: 267-223-7669
  • Fax:
Mailing address:
  • Phone: 267-223-7669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS015642
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: