Stock, Lynn Mary

Stock, Lynn Mary is an individual health care provider with primary practice located at 430 E Division St , Fond Du Lac WI 54935-4560. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Stock, Lynn Mary can be contacted via phone (920) 926-4200.

Contact Information

Primary practice address
430 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3669-125 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2777-57 Wisconsin

Profile Details

NPI number 1346481470
LBN Legal business name Stock, Lynn Mary
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2009
Last updated Oct 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346481470 NPPES
Wisconsin MEDICAID 100002879

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