Modzelesky, Lynne Ann

Modzelesky, Lynne Ann is an individual health care provider with primary practice located at 3404 Black Tower Ct , Fayetteville NC 28306-8097. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Modzelesky, Lynne Ann can be contacted via phone (610) 425-0752.

Contact Information

Primary practice address
3404 Black Tower Ct Fayetteville NC 28306-8097
Phone: (610) 425-0752
Fax: (707) 253-5097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 29009 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS017705 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6144 North Carolina

Profile Details

NPI number 1295132975
LBN Legal business name Modzelesky, Lynne Ann
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2014
Last updated Apr 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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