Doctor Name: | MR. NICHOLAS ANDREW LYNCH |
NPI Number: | 1407134901 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | 8810 |
Business Practice Address: | 950 Jefferson Commons Cir Apt. 1310 Saint Paul, MN - 551148634 |
Business Phone Number: | 2182135438 |
Business Fax Number: | |
Mailing Address: | 950 Jefferson Commons Cir, Apt. 1310 SAINT PAUL |
State: | MN |
Postal Code: | 551148634 |
Phone Number: | 2182135438 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2011 |
NPI Last Update Date: | 08/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8810 |
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 |