Individual
MR. MALLORY BRETT LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1268 SUNCREST RD, TALENT, OR 97540-9642
(541) 535-4812
Mailing address
1268 SUNCREST RD, TALENT, OR 97540-9642
(541) 535-4812
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0365
OR
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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