Gwendolyn Lynch
Behavior Technician in Columbia, SC. Individual provider (NPI-1).
NPI number1295479129
StatusActive
Last updated in NPPESApr 26, 2022
Details
- NPI
- 1295479129
- Entity type
- Individual (NPI-1)
- Name
- Gwendolyn Lynch
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2022
- Certification date
- Apr 26, 2022
- Last updated
- Apr 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2108 Greene St # 5495Columbia, SC 29205-1641
Phone 803-681-0816 · Fax 803-627-8961
Mailing address
Po Box 5495Columbia, SC 29250-5495
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