Provider Demographics
NPI:1962761841
Name:LYNE, DEBORAH (LPC-US)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:LYNE
Suffix:
Gender:F
Credentials:LPC-US
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:LYNE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:2000 ARAPAHO RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-6835
Mailing Address - Country:US
Mailing Address - Phone:405-630-9141
Mailing Address - Fax:
Practice Address - Street 1:1330 N CLASSEN BLVD
Practice Address - Street 2:110
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6835
Practice Address - Country:US
Practice Address - Phone:405-706-4009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174H00000XOther Service ProvidersHealth Educator