Organization Name: | LYNN M CENTER, INC |
NPI Number: | 1104909860 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN MARIE CENTER (SPEECH PATHOLOGIST/OWNER) |
Mailing Address: | 2580 E Joyce Blvd Suite 12 Fayetteville |
State: | AR US |
Postal Code: | 727034553 |
Phone Number: | 4795217337 |
Fax Number: | 4795217338 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |