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General NPI Number Information
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NPI Number | 1073309712
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Entity Type | Organization
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Legal Business Name | LYNN LORIS OWENS, PSYD, LLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 10015 OLD COLUMBIA RD STE B215
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City | COLUMBIA
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State | MD
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Zip | 21046-1865
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Country | US
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Telephone | 410-999-5535
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Fax |
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Provider Business Mailing Address
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Address Line | 11044 HARDING RD
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City | LAUREL
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State | MD
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Zip | 20723-2034
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Country | US
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Telephone | 301-602-1505
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LYNN LORIS OWENS
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Credential | PSY.D.
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Telephone | 410-999-5535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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