| Doctor Name: | LYNETTE RENE CARLSON |
| NPI Number: | 1871822320 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 5364 |
| Business Practice Address: | 31 W College St 174 Chester Park Duluth, MN - 558121106 |
| Business Phone Number: | 2187266151 |
| Business Fax Number: | 2187268693 |
| Mailing Address: | 174 Chester Park, 31 West College Street DULUTH |
| State: | MN |
| Postal Code: | 558123010 |
| Phone Number: | 2187266151 |
| Fax Number: | 2187268693 |
| NPI Enumeration Date: | 12/11/2009 |
| NPI Last Update Date: | 12/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5364 |
| 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 |