Individual
DR. KERRY WAYNE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8380 NORTH ST., IXONIA, WI 53036
(262) 569-0811
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 382-5298
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1458057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14580057
PSYCHOLOGIST
WI
Enumeration date
07/18/2006
Last updated
07/08/2007
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