Lynn Anderson

Individual provider Active NPI Marriage & Family Therapist · New York, NY

NPI 1902164791 · NPPES record last updated Apr 30, 2012

Key facts

NPI
1902164791
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
000649 (NY)
Practice address
74 Trinity PL
612
New York, NY 10006-2003
Phone
(212) 285-0043
NPI assigned
Apr 30, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000649NYMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000649 NY Yes

Addresses

Primary practice location

74 Trinity PL
612
New York, NY 10006-2003

Mailing address

107 E 2ND St
1B
New York, NY 10009-7936
Phone (772) 539-2070

Other providers in New York, NY

All providers in New York, NY · Marriage & Family Therapist in New York

Sources for this page

Verify at the official NPI Registry.