Provider Demographics
NPI:1043621592
Name:LYNNE CLAUSEN, PH.D.
Entity type:Organization
Organization Name:LYNNE CLAUSEN, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:CLAUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:239-403-7171
Mailing Address - Street 1:201 8TH ST S
Mailing Address - Street 2:STE. 206
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6107
Mailing Address - Country:US
Mailing Address - Phone:239-403-7171
Mailing Address - Fax:
Practice Address - Street 1:201 8TH ST S
Practice Address - Street 2:STE. 206
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6107
Practice Address - Country:US
Practice Address - Phone:239-403-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-17
Last Update Date:2014-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4466103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty