Individual
DR. IAN MICHAEL LYNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2010030532
MO
Other
Enumeration date
09/08/2010
Last updated
07/25/2012
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