Provider Demographics
NPI:1962701375
Name:SZYMANSKI, LYNDA ANNE (PHD)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:ANNE
Last Name:SZYMANSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 S SERVICE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-1882
Mailing Address - Country:US
Mailing Address - Phone:651-388-0051
Mailing Address - Fax:351-388-0054
Practice Address - Street 1:2835 S SERVICE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-1882
Practice Address - Country:US
Practice Address - Phone:651-388-0051
Practice Address - Fax:351-388-0054
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP4689103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical