Provider Demographics
NPI:1053742395
Name:RIGNEY, LYNN (PYSD,)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:RIGNEY
Suffix:
Gender:F
Credentials:PYSD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 BROADWAY RM 1505
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-1861
Mailing Address - Country:US
Mailing Address - Phone:917-744-3599
Mailing Address - Fax:
Practice Address - Street 1:291 BROADWAY RM 1505
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1861
Practice Address - Country:US
Practice Address - Phone:917-744-3599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021068-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical