Provider Demographics
NPI:1518272053
Name:TEPPER, LYNN S (MA,CCC)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:S
Last Name:TEPPER
Suffix:
Gender:F
Credentials:MA,CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FREMONT RD
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1039
Mailing Address - Country:US
Mailing Address - Phone:914-631-5227
Mailing Address - Fax:
Practice Address - Street 1:7 FREMONT RD
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1039
Practice Address - Country:US
Practice Address - Phone:914-631-5227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0016151235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist