Individual
MS. LYNN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
30 LAFAYETTE SQ STE 1B, VERNON, CT 06066-4554
(860) 869-3246
(860) 871-4917
Mailing address
38 RIDGEBROOK DR, WEST HARTFORD, CT 06107-3334
(860) 869-3246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2608
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002608CT02
BLUE CROSS PROVIDER NUMBE
CT
01
—
198353
MANAGED HEALTH NETWORK
CT
01
—
221160
CIGNA
CT
Enumeration date
02/10/2007
Last updated
07/08/2007
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