Doctor Name: | LYNDA THOMAS GATES |
NPI Number: | 1639338056 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC/SLP |
License Number: | SA 9467 |
Business Practice Address: | 207 W Jackson St Ste 2 Ridgeland, MS - 391572355 |
Business Phone Number: | 6013620859 |
Business Fax Number: | |
Mailing Address: | 207 W Jackson St, Ste 2 RIDGELAND |
State: | MS |
Postal Code: | 391572355 |
Phone Number: | 6013620859 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2008 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 9467 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |