Alice Marina Lynn | Santa Monica, CA • PECOS Search

Alice Marina Lynn

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1137 Second Street, Suite 204, Santa Monica, CA 90403

PECOS Enrollment

Based on the most recent information from CMS, provider Alice Marina Lynn does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1518160159
Provider Type
Individual
Full Name
Lynn, Alice Marina
Title
Ms.
Credential
MFT

Gender
Female
Sole Proprietor
No
Enumeration Date
6/11/2007
Last Updated
7/8/2007

Contact Information

Practice Location

1137 Second Street, Suite 204, Santa Monica, CA 90403

Unlisted Fax

Mailing Location

1137 Second Street, Suite 204, Santa Monica, CA 90403

(310) 454-6290

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFT7784 California