Provider Information for 1922694496
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Mr. STUART ALLAN LYND Jr. LPC
Sex: Male
NPI: 1922694496
Last Updated: 2020-12-17
Certification Date: 2020-12-17
Certification Date: 2020-12-17
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1922694496 | ||||||||
| Enumeration Date | 2020-12-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 152 WILDWOOD AVE PITMAN, NJ 08071-1543 United States Phone: 503-881-9912 | Fax: | ||||||||
| Primary Practice Address | 152 WILDWOOD AVE PITMAN, NJ 08071-1543 United States Phone: 503-881-9912 | Fax: | ||||||||
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