Provider Demographics
NPI:1336486513
Name:LYNCH, TRICIA MARY (MA,CCC-SLP-TSHH)
Entity Type:Individual
Prefix:MS
First Name:TRICIA
Middle Name:MARY
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MA,CCC-SLP-TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MERLIN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-4411
Mailing Address - Country:US
Mailing Address - Phone:914-953-8812
Mailing Address - Fax:
Practice Address - Street 1:17 BERKLEY DR
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1422
Practice Address - Country:US
Practice Address - Phone:914-937-3820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016917235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist