Healthcare Provider Details

I. General information

NPI: 1003776469
Provider Name (Legal Business Name): AADILA LYNCH PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 S BROAD ST
PHILADELPHIA PA
19109-1029
US

IV. Provider business mailing address

125 WOOD DUCK PL APT 401
CHARLOTTESVILLE VA
22902-7299
US

V. Phone/Fax

Practice location:
  • Phone: 267-209-0140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0810009072
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: