Provider Demographics
NPI:1013155886
Name:ZWICK, LYNN CYNTHIA (MSCCC)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:CYNTHIA
Last Name:ZWICK
Suffix:
Gender:F
Credentials:MSCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6316
Mailing Address - Country:US
Mailing Address - Phone:718-339-8429
Mailing Address - Fax:718-339-5212
Practice Address - Street 1:1505 E 4TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6316
Practice Address - Country:US
Practice Address - Phone:718-339-8429
Practice Address - Fax:718-339-5212
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-31
Last Update Date:2009-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3358235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist