Organization Name: | LYNN A VANSTONE MS CCC SLP INC |
NPI Number: | 1033349865 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN A VANSTONE (PRESIDENT) |
Mailing Address: | 425 Commercial Ct Suite 100 Venice |
State: | FL US |
Postal Code: | 342921642 |
Phone Number: | 9414834000 |
Fax Number: | 9414834002 |
NPI Enumeration Date: | 07/14/2009 |
NPI Last Update Date: | 07/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 8010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |