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NPI 1992396212

NPI 1992396212 : DR. LYNN PSYCHOLOGY, PLLC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1992396212
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. LYNN PSYCHOLOGY, PLLC 
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Dates
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    Enumeration Date     |    01/29/2021
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    Last Update Date     |    01/29/2021
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Provider Practice Location Address
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    Address Line         |    424 MADISON AVE FL 16 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10017-1137
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    Country              |    US
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    Telephone            |    646-868-1974
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    424 MADISON AVE FL 16 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10017-1137
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    Country              |    US
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    Telephone            |    646-868-1974
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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  SALADINO 
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    Credential           |    PSYD
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    Telephone            |    686-868-1974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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