Provider Demographics
NPI:1982406120
Name:LYNCH, TAMIKA (PHD)
Entity type:Individual
Prefix:DR
First Name:TAMIKA
Middle Name:
Last Name:LYNCH
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7413 DUNOLLIE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-5352
Mailing Address - Country:US
Mailing Address - Phone:804-301-4888
Mailing Address - Fax:866-339-1881
Practice Address - Street 1:7413 DUNOLLIE DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23838-5352
Practice Address - Country:US
Practice Address - Phone:804-301-4888
Practice Address - Fax:866-339-1881
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704016669101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional