Individual
LYNN HENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3355 BEE CAVE RD STE 507, WEST LAKE HILLS, TX 78746-6682
(512) 663-1063
Mailing address
PO BOX 161102, AUSTIN, TX 78716-1102
(512) 663-1063
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3-1414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066LJ
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/23/2007
Last updated
03/03/2009
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