Provider Demographics
NPI:1861482812
Name:PARSONS, LYNNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:490 WHITE FENCE LANE
Mailing Address - City:MILL SPRING
Mailing Address - State:NC
Mailing Address - Zip Code:28756-0435
Mailing Address - Country:US
Mailing Address - Phone:828-894-5595
Mailing Address - Fax:828-894-2217
Practice Address - Street 1:490 WHITE FENCE LANE
Practice Address - Street 2:
Practice Address - City:MILL SPRING
Practice Address - State:NC
Practice Address - Zip Code:28756
Practice Address - Country:US
Practice Address - Phone:828-894-5595
Practice Address - Fax:828-894-2217
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
0402ROtherBLUE CROSS/BLUE SHIELD
2817282Medicare ID - Type Unspecified