Provider Demographics
NPI:1770939514
Name:HAYE, LYNN PERRYMAN (PHD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:PERRYMAN
Last Name:HAYE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:PERRYMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:6301 TURNBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-5584
Mailing Address - Country:US
Mailing Address - Phone:714-536-3742
Mailing Address - Fax:
Practice Address - Street 1:6301 TURNBERRY CIR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-5584
Practice Address - Country:US
Practice Address - Phone:714-625-2832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-11
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY5244103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical