Provider Demographics
NPI:1609037530
Name:LYNCH, JULIA ANN (CCC-SLP, ATP)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ANN
Last Name:LYNCH
Suffix:
Gender:F
Credentials:CCC-SLP, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HIGHLAND GRN
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-3688
Mailing Address - Country:US
Mailing Address - Phone:802-299-0254
Mailing Address - Fax:
Practice Address - Street 1:8 HIGHLAND GRN
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-3688
Practice Address - Country:US
Practice Address - Phone:802-299-0254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT235Z00000X
NH1150235Z00000X
MA8444235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist