DR. SHANNON M LYNCH


Address: Isu Psychology Clinic, Idaho State University, Stop 8112, Pocatello, ID 83209-0001
Phone: 2082822129

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY-202220 ID Behavioral Health & Social Service Providers

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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

Office Location

Street Address ISU PSYCHOLOGY CLINIC
IDAHO STATE UNIVERSITY, STOP 8112
City POCATELLO
State ID
Zip Code 83209-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598892143 Peter Vik Psychologist Isu Psychology Clinic, Idaho State University Stop 8021, Pocatello, ID 83209-0001 2007-02-28

Providers in the same zip code

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 Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City POCATELLO
Zip Code 83209

Improve Information

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Dataset Information

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.

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