| Doctor Name: | MS. CAROLYN ANN LUNDELL |
| NPI Number: | 1174768782 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | 8148 |
| Business Practice Address: | 867 Cleveland Ave S Apt. 12 Saint Paul, MN - 551161895 |
| Business Phone Number: | 6514929425 |
| Business Fax Number: | |
| Mailing Address: | 8757 E Dry Creek Rd, Unit 1524 CENTENNIAL |
| State: | CO |
| Postal Code: | 801122789 |
| Phone Number: | 6518153300 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2008 |
| NPI Last Update Date: | 11/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 8148 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |