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Individual

DR. SHANNON M LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
ISU PSYCHOLOGY CLINIC, IDAHO STATE UNIVERSITY, STOP 8112, POCATELLO, ID 83209-0001
(208) 282-2129
(208) 282-5411
Mailing address
PSYCHOLOGY DEPARTMENT, 921 SO 8TH AVE, STOP 8112, POCATELLO, ID 83209-0001
(208) 282-2110
(208) 282-5411

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-202220
ID

Other

Enumeration date
01/19/2007
Last updated
07/08/2007
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