Distefano, Lynda A.

Distefano, Lynda A. is an individual health care provider with primary practice located at 607 North Ave Door #14, Wakefield MA 01880-1322. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Distefano, Lynda A. can be contacted via phone (781) 245-4446.

Contact Information

Primary practice address
607 North Ave Door #14 Wakefield MA 01880-1322
Phone: (781) 245-4446
Fax: (781) 245-5505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3041 Massachusetts
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP00880 Rhode Island

Profile Details

NPI number 1790957074
LBN Legal business name Distefano, Lynda A.
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2008
Last updated Sep 23rd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790957074 NPPES
Other 010880005 ASHA MEMBERSHIP
Other SP00880 ASHA MEMBERSHIP
Other 3041 ASHA MEMBERSHIP

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