Individual
HEATHER LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST-MASTER
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
047.0045057
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017144
—
VT
Enumeration date
11/01/2009
Last updated
04/12/2010
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