Provider Demographics
NPI:1528256997
Name:LYNCH, DEVON M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DEVON
Middle Name:M
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DEVON
Other - Middle Name:M
Other - Last Name:PAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:26 SAFRAN AVENUE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3510
Mailing Address - Country:US
Mailing Address - Phone:732-738-1323
Mailing Address - Fax:732-738-3896
Practice Address - Street 1:26 SAFRAN AVENUE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3510
Practice Address - Country:US
Practice Address - Phone:732-738-1323
Practice Address - Fax:732-738-3896
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05392900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker