Provider Demographics
NPI:1932303302
Name:FEINBERG, LYNN JENKINS (LYNN FEINBERG)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:JENKINS
Last Name:FEINBERG
Suffix:
Gender:F
Credentials:LYNN FEINBERG
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:MARGARET
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:5716 HARDY AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115
Mailing Address - Country:US
Mailing Address - Phone:619-846-9686
Mailing Address - Fax:619-594-4315
Practice Address - Street 1:5716 HARDY AVENUE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-1314
Practice Address - Country:US
Practice Address - Phone:619-846-9686
Practice Address - Fax:619-594-4315
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC14007106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist