Provider Demographics
NPI:1962651448
Name:LYNCH, CHRISTOPHER (PHD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:LYNCH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MADISON AVE.
Mailing Address - Street 2:MORRISTOWN MEMORIAL HOSPTIAL CHILD DEVELOPMENT CENTER
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07962-1956
Mailing Address - Country:US
Mailing Address - Phone:973-971-5227
Mailing Address - Fax:973-290-7164
Practice Address - Street 1:100 MADISON AVE.
Practice Address - Street 2:MORRISTOWN MEMORIAL HOSPTIAL CHILD DEVELOPMENT CENTER
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07962-1956
Practice Address - Country:US
Practice Address - Phone:973-971-5227
Practice Address - Fax:973-290-7164
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3586103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical