Provider Demographics
NPI:1659704534
Name:POE, LYNN BREWER (BA, MED)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:BREWER
Last Name:POE
Suffix:
Gender:F
Credentials:BA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 W SPRINGDALE RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-6588
Mailing Address - Country:US
Mailing Address - Phone:803-981-1135
Mailing Address - Fax:
Practice Address - Street 1:132 W SPRINGDALE RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-6588
Practice Address - Country:US
Practice Address - Phone:803-981-1135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist