Individual
DR. MICHAEL ANTHONY LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
751 COUNTY ROAD K, FOND DU LAC, WI 54935-7707
(920) 929-6702
Mailing address
751 COUNTY ROAD K, FOND DU LAC, WI 54935-7707
(920) 929-6702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3229-125
WI
103T00000X
Psychologist
Primary
2708-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40933200
—
WI
Enumeration date
05/19/2008
Last updated
05/19/2008
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