Provider Demographics
NPI:1720204894
Name:CUMMINGS, LYNN M (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:M
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:LYNN
Other - Middle Name:M
Other - Last Name:NESGODA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:318 CLOUDLESS SKY DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-3804
Mailing Address - Country:US
Mailing Address - Phone:717-512-2290
Mailing Address - Fax:717-795-1912
Practice Address - Street 1:318 CLOUDLESS SKY DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-3804
Practice Address - Country:US
Practice Address - Phone:717-512-2290
Practice Address - Fax:717-795-1912
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005803L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019166590003Medicaid