Provider Demographics
NPI:1043524085
Name:LINTZ, CHAYA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHAYA
Middle Name:
Last Name:LINTZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:CHAYA
Other - Middle Name:
Other - Last Name:BRICKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:5111 S MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2901
Mailing Address - Country:US
Mailing Address - Phone:206-717-2171
Mailing Address - Fax:
Practice Address - Street 1:5111 S MORGAN ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-2901
Practice Address - Country:US
Practice Address - Phone:206-717-2171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018452235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist