DR. LYNN SUPPLE PSYD
NPI 1093173239
Psychologist - Clinical in Saint Louis, MO

Active since February 02, 2016
16 N GORE AVE, SUITE 203, SAINT LOUIS, MO 63119(615) 574-5957 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lynn Supple Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LYNN SUPPLE PSYD (NPI 1093173239) is an individual clinical provider in Saint Louis, Missouri, licensed in Iowa (075591) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1093173239
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LYNN SUPPLECredential: PSYD
Location Address16 N GORE AVE, SUITE 203Saint Louis, MO 63119-2315
Mailing Address1103 Selma AveSaint Louis, MO 63119-4766 · (615) 574-5957
Sole ProprietorYes
Enumeration DateFebruary 2, 2016
NPI 1093173239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IA · 075591
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
16 N GORE AVE, Saint Louis, MO 63119

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
16 N GORE AVE, SUITE 204
WEBSTER GROVES, MO 63119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynn Supple's NPI number?

The NPI number for Lynn Supple is 1093173239. It was assigned to this individual provider in the NPPES registry on February 2, 2016.

Where is Lynn Supple located?

Lynn Supple practices at 16 N Gore Ave Suite 203, Saint Louis, MO 63119. The listed phone number is (615) 574-5957.

What is Lynn Supple's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lynn Supple was last updated on February 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.