MEDICARE: RUTH ANNE ASHER-LYNCH

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	101YM0800X	Mental Health Counselor	39000773A	IN
2	1041C0700X	Clinical Social Worker	34001380A	IN

General Provider Information

NPI Number	:	1346642469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH ANNE ASHER-LYNCH

Provider Business Mailing Address
First Line	:	9715 TRILOBI DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-9704
Country	:	US
Telephone Number	:	317-753-5946
Fax Number	:

Provider Business Practice Location Address
First Line	:	9715 TRILOBI DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-9704
Country	:	US
Telephone Number	:	317-753-5946
Fax Number	:

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

Provider Enumeration Date	:	09/19/2014
Last Update Date	:	09/19/2014

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