| Doctor Name: | MS. LYNN ELDRIDGE |
| NPI Number: | 1194865873 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SP |
| License Number: | SA 5813 |
| Business Practice Address: | 9 Pine Cone Dr Suite 104b Palm Coast, FL - 321378686 |
| Business Phone Number: | 3864469716 |
| Business Fax Number: | 3864460046 |
| Mailing Address: | 411 D St, SAINT AUGUSTINE |
| State: | FL |
| Postal Code: | 320806839 |
| Phone Number: | 9044619772 |
| Fax Number: | 9044619772 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA 5813 |
| 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 |