Provider Demographics
NPI:1487721619
Name:LYNCH, BARBARA A (LCSW,BCD)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:A
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LCSW,BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:BOONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-1319
Mailing Address - Country:US
Mailing Address - Phone:973-334-9148
Mailing Address - Fax:
Practice Address - Street 1:601 JEFFERSON RD
Practice Address - Street 2:SUITE 107
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-3790
Practice Address - Country:US
Practice Address - Phone:973-334-9148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC004047001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical