Vandrie, Mary Lynn

Vandrie, Mary Lynn is an individual health care provider with primary practice located at 705 W. Lake Lansing Road , East Lansing MI 48823. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Vandrie, Mary Lynn can be contacted via phone (517) 337-2411.

Contact Information

Primary practice address
705 W. Lake Lansing Road East Lansing MI 48823
Phone: (517) 337-2411
Fax: (517) 337-6033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000092 Michigan

Profile Details

NPI number 1174568422
LBN Legal business name Vandrie, Mary Lynn
Credentials M.A.,CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jan 16th, 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 1174568422 NPPES
Michigan MEDICAID 1174568422

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