Individual
MICHELLE K LYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
315 W PONCE DE LEON AVE, SUITE 552, DECATUR, GA 30030-2400
(678) 643-1786
Mailing address
PO BOX 372515, DECATUR, GA 30037-2515
(678) 643-1786
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY002974
GA
Other
Enumeration date
12/07/2009
Last updated
01/17/2011
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