Provider Demographics
NPI:1134221336
Name:WEGRZYNEK, LYNN ANN (CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:ANN
Last Name:WEGRZYNEK
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 1:900 MACBETH DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3340
Mailing Address - Country:US
Mailing Address - Phone:412-372-1783
Mailing Address - Fax:412-372-1472
Practice Address - Street 1:900 MACBETH DR
Practice Address - Street 2:SUITE #1
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3340
Practice Address - Country:US
Practice Address - Phone:412-372-1783
Practice Address - Fax:412-372-1472
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000417L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist