DR. SHANNON M LYNCH (NPI# 1326191925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326191925 |
Entity Type | Individual |
Full Name | DR. SHANNON M LYNCH |
Credential | PH.D. |
Practice Address |
Isu Psychology Clinic Idaho State University, Stop 8112 Pocatello ID 83209-0001 |
Mailing Address |
Psychology Department 921 So 8th Ave, Stop 8112 Pocatello ID 83209-0001 |
Practice Telephone | 2082822129 |
Practice Fax Number | 2082825411 |
Mailing Telephone | 2082822110 |
Mailing Fax Number | 2082825411 |
Enumeration Date | 2007-01-19 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-202220 | ID | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124628201 | Shannon Lynch | Dietitian, Registered | 8 E Pine St Apt 1, Enola, PA 17025-2827 | 2020-10-28 |
1528560349 | Shannon Alexis Lynch | Clinical Nurse Specialist | 26594 Old Homestead Dr, Farmington Hills, MI 48331-3843 | 2018-03-07 |
1245358407 | Shannon Mcdade Lynch | Physical Therapist | 11167 Twining Ln, Princess Anne, MD 21853-2713 | 2007-03-27 |
1801409412 | Shannon Marie Lynch | Social Worker | 600 Arthur St, Knoxville, TN 37921-6405 | 2020-08-25 |
1275164683 | Shannon Lynch | Social Worker | 3324 W University Ave Unit 241, Gainesville, FL 32607-2540 | 2020-02-04 |
1780228825 | Shannon Cain Lynch | Social Worker | 134 Thurbers Ave, Providence, RI 02905-4754 | 2019-11-01 |
1780168096 | Shannon Lynch | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, FL 32025-5614 | 2018-09-21 |
1720506769 | Shannon Marie Lynch | Counselor | 960 Boardman Canfield Rd, Boardman, OH 44512-4220 | 2017-08-30 |
1629590153 | Shannon Marie Lynch | Nurse Practitioner | 800 Howard Ave Fl 2, New Haven, CT 06519-1369 | 2017-07-17 |
1164472502 | Shannon C Lynch | Ophthalmology | 7810 Davenport St, Omaha, NE 68114-3629 | 2006-05-10 |
Street Address |
ISU PSYCHOLOGY CLINIC IDAHO STATE UNIVERSITY, STOP 8112 |
City | POCATELLO |
State | ID |
Zip Code | 83209-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598892143 | Peter Vik | Psychologist | Isu Psychology Clinic, Idaho State University Stop 8021, Pocatello, ID 83209-0001 | 2007-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093097081 | Eydie Kendall | Physical Therapist | 1400 Terry Drive, Pocatello, ID 83209 | 2011-09-15 |
1548548589 | Corrie Elizabeth Holmes | Audiologist | 650 Memorial Drive Building 68, Pocatello, ID 83209 | 2011-07-25 |
1730351081 | Idaho State University | Pharmacy | 990 South 8th, Pocatello, ID 83209 | 2008-03-27 |
1922204551 | Melody Ann Weaver | Nurse Practitioner | 921 S 8th Ave Stop 8101, Pocatello, ID 83209 | 2007-06-21 |
1710482500 | Ashley Letson | Specialist/Technologist | 921 S 8th Ave, Mcintosh Manor D9, Pocatello, ID 83209 | 2018-03-26 |
1407261407 | Stephen B Grandy | Dentist | 465 Memorial Drive, Pocatello, ID 83209-0000 | 2014-06-27 |
1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
1174149389 | Santiago A Segura Barron | Specialist/Technologist | Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 | 2020-06-23 |
1639658248 | Luis Rodriguez | Psychologist | 1400 Eas Terry Dr Bldg 63 Garrison Hall 5th Floor, Pocatello, ID 83209-0001 | 2018-08-14 |
1205384484 | Max Esposito | Physical Medicine & Rehabilitation | 1400 E Terry Dr, Pocatello, ID 83209-0001 | 2016-09-15 |
Find all providers in zip 83209 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346890175 | Robert D Rieske | Psychologist | 921 S 8th Ave Stop 8112, Pocatello, ID 83209-8112 | 2019-09-13 |
1235689902 | Kathleen Rene Smith | Psychologist | 1000 N 8th Ave, Pocatello, ID 83201-5757 | 2016-10-06 |
1275983132 | Jabeene Bhimji | Psychologist | 500 S 11th Ave Ste 400, Pocatello, ID 83201-4880 | 2016-06-21 |
1639524895 | Elizabeth Craun | Psychologist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2016-04-25 |
1154783538 | Healthwest | Psychologist | 1000 N 8th Ave, Pocatello, ID 83201-5757 | 2016-03-24 |
1598892143 | Peter Vik | Psychologist | Isu Psychology Clinic, Idaho State University Stop 8021, Pocatello, ID 83209-0001 | 2007-02-28 |
1891842563 | Theresa L. Ross | Psychologist | 777 Hospital Way, Suite G11, Pocatello, ID 83201-5175 | 2007-01-04 |
1124175898 | John L. Christensen | Psychologist | 500 S 11th Ave, Suite 302, Pocatello, ID 83201-4835 | 2007-01-04 |
1457408122 | Cynthia Lee Amen | Psychologist | 500 S 11th Ave, Suite 302, Pocatello, ID 83201-4835 | 2007-01-04 |
1972663839 | John Hanford Dickey | Psychologist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2006-12-11 |
Find all providers in POCATELLO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.