Provider Demographics
NPI:1053421495
Name:SMYTHE, LYNN CHRISTINE (MS, LMFT)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:CHRISTINE
Last Name:SMYTHE
Suffix:
Gender:F
Credentials:MS, LMFT
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 1021
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-1021
Mailing Address - Country:US
Mailing Address - Phone:360-974-4830
Mailing Address - Fax:360-794-7252
Practice Address - Street 1:15315 1ST AVE NE
Practice Address - Street 2:SUITE #212
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-6339
Practice Address - Country:US
Practice Address - Phone:425-736-8862
Practice Address - Fax:360-794-7252
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60097549106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist