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NPI Code Detail

MEDICARE: DR. LYN E STYCZYNSKI PHD

MEDICARE: DR. LYN E STYCZYNSKI PHD
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
1103TC0700XClinical Psychologist2320MA
2103TF0000XFamily Psychologist2320MA
3103T00000XPsychologist2320MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20005140246OTHERMAAETNA PIN

General Provider Information

NPI Number : 1730251935
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYN E STYCZYNSKI PHD
Provider Business Mailing Address
First Line : 106 WILDWOOD AVE
Second Line :
City : ARLINGTON
State : MA
Zip : 02476-6224
Country : US
Telephone Number : 781-641-2210
Fax Number : 781-648-4717
Provider Business Practice Location Address
First Line : 173 MT AUBURN ST
Second Line :
City : WATERTOWN
State : MA
Zip : 02472-4005
Country : US
Telephone Number : 781-641-2210
Fax Number : 781-648-4777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 09/11/2025

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