Provider Demographics
NPI:1366674400
Name:LYNCH, RUTH ELAINE (LMFT)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ELAINE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 E PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-4212
Mailing Address - Country:US
Mailing Address - Phone:714-916-4358
Mailing Address - Fax:
Practice Address - Street 1:6700 E PACIFIC COAST HWY
Practice Address - Street 2:SUITE 104
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-4212
Practice Address - Country:US
Practice Address - Phone:714-916-4358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47327106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist