Provider Demographics
NPI:1962687806
Name:LYNCH, CATHERINE C (SLP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:C
Last Name:LYNCH
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:C
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:3505 MONTECITO DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5503
Mailing Address - Country:US
Mailing Address - Phone:940-383-3269
Mailing Address - Fax:
Practice Address - Street 1:1104 N ELM ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2939
Practice Address - Country:US
Practice Address - Phone:940-206-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101058235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist