Provider Demographics
NPI:1629316724
Name:LYNCH, JESSICA (MS CF SLP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MS CF SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:244 CENTER RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1789
Mailing Address - Country:US
Mailing Address - Phone:412-371-7111
Mailing Address - Fax:412-372-7186
Practice Address - Street 1:250 MOUNT LEBANON BLVD
Practice Address - Street 2:SUITE 412
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1252
Practice Address - Country:US
Practice Address - Phone:412-563-2434
Practice Address - Fax:412-563-7610
Is Sole Proprietor?:No
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist