| NPI | 1558405910 |
|---|---|
| Former Name | LYNETTE A MENEFEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36048) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS008510L) |
| 103TC0700X Psychologist, Clinical (Licence: NM PSY1561) | |
| 103TC0700X Psychologist, Clinical (Licence: NM RXC077) | |
| 103TC0700X Psychologist, Clinical (Licence: PA PS008510L) | |
| 103TH0100X Psychologist, Health Service (Licence: PA PS008510L) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2021-08-06 |