Dr. Shannon M Lynch, Ph.D.
Psychologist, Clinical in Pocatello, ID. Individual provider (NPI-1).
NPI number1326191925
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1326191925
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shannon M Lynch
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY-202220 | ID | Yes |
Practice location
Isu Psychology ClinicIdaho State University, Stop 8112
Pocatello, ID 83209-0001
Phone 208-282-2129 · Fax 208-282-5411
Mailing address
Psychology Department921 So 8th Ave, Stop 8112
Pocatello, ID 83209-0001
Phone 208-282-2110 · Fax 208-282-5411
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