Doctor Name: | MISS RENE' MYRNA LIPINSKI |
NPI Number: | 1528185592 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | SLP# 1028 |
Business Practice Address: | 3555 E Fry Blvd Sierra Vista, AZ - 856352972 |
Business Phone Number: | 5205152700 |
Business Fax Number: | |
Mailing Address: | Po Box 395, SIERRA VISTA |
State: | AZ |
Postal Code: | 856360395 |
Phone Number: | 5204586343 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP# 1028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |