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Contact Information

STEPHANIE LYNAM, PSY.D.
175 MAIN ST S
WOODBURY, CT06798
 Phone: 203-456-0339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STEPHANIE LYNAM · (Female)

NPI Number 1972912079
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 08/04/2014
Last updated 01/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 003614
  • NY License # 68 020741
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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