Organization
BIRCH PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE LYNAM PSY.D (PSYCHOLOGIST/OWNER)
(203) 456-0339
Entity
Organization
Contact information
Practice address
175 MAIN ST S, WOODBURY, CT 06798-3448
(203) 456-0339
Mailing address
6 FAIRVIEW DR APT 1, DANBURY, CT 06810-7665
(203) 456-0339
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003614
CT
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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