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NPI Code Detail

MEDICARE: MS. LYNN CRIDER LPC

MEDICARE:  MS. LYNN  CRIDER  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorC.1801225OH
2101YM0800XMental Health CounselorE.2001908OH

General Provider Information

NPI Number : 1093209868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYNN CRIDER LPC
Provider Business Mailing Address
First Line : 8833 CINCINNATI DAYTON RD STE 105
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-7106
Country : US
Telephone Number : 513-818-3148
Fax Number :
Provider Business Practice Location Address
First Line : 8833 CINCINNATI DAYTON RD STE 105
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-7106
Country : US
Telephone Number : 513-759-9744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2018
Last Update Date : 10/11/2020

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Directions to “ MS. LYNN CRIDER LPC” Practice Location

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