Provider Demographics
NPI:1730497272
Name:LYNCH, ECHO NOELLE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ECHO
Middle Name:NOELLE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 STATE STREET
Mailing Address - Street 2:SKANEATELES CENTRAL SCHOOL DISTRICT
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152-1200
Mailing Address - Country:US
Mailing Address - Phone:315-291-2261
Mailing Address - Fax:
Practice Address - Street 1:49 E ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152-1337
Practice Address - Country:US
Practice Address - Phone:315-291-2261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013473235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist