Provider Demographics
NPI:1790061901
Name:MOROTTI, LYNNE MARIE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:MARIE
Last Name:MOROTTI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MISS
Other - First Name:LYNNE
Other - Middle Name:MARIE
Other - Last Name:SCHWASNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,ED
Mailing Address - Street 1:137 JACKSONBURG LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13365-5429
Mailing Address - Country:US
Mailing Address - Phone:315-823-3801
Mailing Address - Fax:
Practice Address - Street 1:1 WARD SQ
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:NY
Practice Address - Zip Code:13365-1606
Practice Address - Country:US
Practice Address - Phone:315-823-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009112-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist