Provider Demographics
NPI:1710947221
Name:GRAFF, LYNN LORNA (MA,MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:LORNA
Last Name:GRAFF
Suffix:
Gender:F
Credentials:MA,MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3283 NE SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-3982
Mailing Address - Country:US
Mailing Address - Phone:772-341-8899
Mailing Address - Fax:772-334-7298
Practice Address - Street 1:3283 NE SKYLINE DR
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-3982
Practice Address - Country:US
Practice Address - Phone:772-341-8899
Practice Address - Fax:772-334-7298
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA2610235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist