Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lynne Ann Modzelesky, PSYD

Individual provider Clinical Psychologist · NPI 1295132975

Lynne Ann Modzelesky, PSYD is a Clinical Psychologist in Fayetteville, North Carolina. Qualified in 2013, 13 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California, North Carolina and Pennsylvania.

Years since qualifying
13
Licensed in
CA, NC, PA
In the registry since
2014
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3404 Black Tower Ct
Fayetteville, NC 28306-8097
Phone: (610) 425-0752
Fax: (707) 253-5097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6144 (NC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 29009 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS017705 (PA)

Record details

NPI number1295132975
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedNovember 25, 2014
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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