Provider Demographics
NPI:1578773438
Name:BARNETT, LYNN SCHOLAN
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:SCHOLAN
Last Name:BARNETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 FOREST TRL
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-1060
Mailing Address - Country:US
Mailing Address - Phone:860-354-2063
Mailing Address - Fax:
Practice Address - Street 1:21 HAYESTOWN AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4819
Practice Address - Country:US
Practice Address - Phone:203-797-4460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001637235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist