MEDICARE: DR. MATTHEW ALLEN LYNCH PSY.D.

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	103TC0700X	Clinical Psychologist	PSY 20127	CA

General Provider Information

NPI Number	:	1306932223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW ALLEN LYNCH PSY.D.

Provider Business Mailing Address
First Line	:	16052 BEACH BLVD STE 212
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3852
Country	:	US
Telephone Number	:	714-717-2965
Fax Number	:

Provider Business Practice Location Address
First Line	:	16052 BEACH BLVD STE 212
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3852
Country	:	US
Telephone Number	:	714-717-2965
Fax Number	:

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	04/28/2011

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