Doctor Name: | KELLY BENTON TYNCH |
NPI Number: | 1295970473 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 4217 |
Business Practice Address: | 4020 Hendersonville Rd Ste B Fletcher, NC - 287328251 |
Business Phone Number: | 8286878428 |
Business Fax Number: | |
Mailing Address: | 560 Maple St, BREVARD |
State: | NC |
Postal Code: | 287123881 |
Phone Number: | 8288843364 |
Fax Number: | |
NPI Enumeration Date: | 12/02/2008 |
NPI Last Update Date: | 12/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |