MEDICARE: MISS LYNN SHARPIN 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
1	101YP2500X	Professional Counselor	16251	TX

General Provider Information

NPI Number	:	1255478814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LYNN SHARPIN LPC

Provider Business Mailing Address
First Line	:	PO BOX 544
Second Line	:
City	:	GOLDTHWAITE
State	:	TX
Zip	:	76844-0544
Country	:	US
Telephone Number	:	512-413-1399
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 E INDUSTRIAL BLVD
Second Line	:
City	:	EARLY
State	:	TX
Zip	:	76802-2354
Country	:	US
Telephone Number	:	512-413-1399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/08/2007

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