Peterson, Lynn T

Peterson, Lynn T is an individual health care provider with primary practice located at 1310 S Union Ave Ste A100 , Tacoma WA 98405-1907. 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. Peterson, Lynn T can be contacted via phone (253) 383-2423.

Contact Information

Primary practice address
1310 S Union Ave Ste A100 Tacoma WA 98405-1907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00002747 Washington

Profile Details

NPI number 1114090743
LBN Legal business name Peterson, Lynn T
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 9th, 2007 - about 19 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 1114090743 NPPES
Washington MEDICAID 7098080

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