MEDICARE: AMY L. LYNDAKER LMFT-C

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	106H00000X	Marriage & Family Therapist	XM6189

General Provider Information

NPI Number	:	1578284576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY L. LYNDAKER LMFT-C

Provider Business Mailing Address
First Line	:	8 CUMBERLAND ST
Second Line	:
City	:	BRUNSWICK
State	:	ME
Zip	:	04011-2158
Country	:	US
Telephone Number	:	207-798-0528
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 LAUREL RD
Second Line	:
City	:	BRUNSWICK
State	:	ME
Zip	:	04011-3420
Country	:	US
Telephone Number	:	207-798-0528
Fax Number	:

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

Provider Enumeration Date	:	09/07/2022
Last Update Date	:	09/07/2022

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