Doctor Name: | MS. LYNN RULIEN MCKENZIE |
NPI Number: | 1255571329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 3202-154 |
Business Practice Address: | 814 Jackson Street Stoughton, WI - 53589 |
Business Phone Number: | 6088736448 |
Business Fax Number: | |
Mailing Address: | 10150 W. National Ave., Suite 150 MILWAUKEE |
State: | WI |
Postal Code: | 53227 |
Phone Number: | 4147554968 |
Fax Number: | 8008820886 |
NPI Enumeration Date: | 03/02/2009 |
NPI Last Update Date: | 03/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3202-154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |