Provider Demographics
NPI:1699804963
Name:SOMERSTEIN, LYNN (ABD)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:SOMERSTEIN
Suffix:
Gender:F
Credentials:ABD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E 84TH ST APT 2P
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2032
Mailing Address - Country:US
Mailing Address - Phone:212-861-6818
Mailing Address - Fax:212-348-4165
Practice Address - Street 1:150 E 84TH ST APT 2P
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2032
Practice Address - Country:US
Practice Address - Phone:212-861-6818
Practice Address - Fax:212-348-4165
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLP00149103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis