Provider Demographics
NPI:1346398773
Name:VOLPINI, LYNN MARIE (MA CCC SLP)
Entity Type:Individual
Prefix:MISS
First Name:LYNN
Middle Name:MARIE
Last Name:VOLPINI
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 ANDERER LN APT 3
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-2247
Mailing Address - Country:US
Mailing Address - Phone:617-921-0385
Mailing Address - Fax:
Practice Address - Street 1:99 ANDERER LN APT 3
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-2247
Practice Address - Country:US
Practice Address - Phone:617-921-0385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5505235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASP0008OtherBLUE CROSS BLUE SHIELD