Provider Demographics
NPI:1952688764
Name:HASLINGER, LYNN OLSEN
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:OLSEN
Last Name:HASLINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:CHRISTINE
Other - Last Name:OLSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 GODFREY AVE
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11709-2710
Mailing Address - Country:US
Mailing Address - Phone:516-754-9895
Mailing Address - Fax:516-277-5458
Practice Address - Street 1:50 GODFREY AVE
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11709-2710
Practice Address - Country:US
Practice Address - Phone:516-754-9895
Practice Address - Fax:516-277-5458
Is Sole Proprietor?:No
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003342235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist