Provider Demographics
NPI:1184788606
Name:SCHEUER, LYNN MARIE (MA CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:MARIE
Last Name:SCHEUER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310-D SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618
Mailing Address - Country:US
Mailing Address - Phone:630-652-0200
Mailing Address - Fax:630-652-0300
Practice Address - Street 1:310 S MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-2692
Practice Address - Country:US
Practice Address - Phone:630-652-0200
Practice Address - Fax:630-652-0300
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013514-1235Z00000X
IL146.010941235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist