Individual
DR. JEREMY WILLIAM LYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
8329 CHILDS CV, NORTH CHARLESTON, SC 29418-2754
(843) 619-7990
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
06/20/2025
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