Provider Demographics
NPI:1396962478
Name:CARPENTER, LYNN M (AUD, FAAA)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:M
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:AUD, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 SCHATZ POINTE DR STE E
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3824
Mailing Address - Country:US
Mailing Address - Phone:937-435-5033
Mailing Address - Fax:937-435-5512
Practice Address - Street 1:7901 SCHATZ POINTE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3824
Practice Address - Country:US
Practice Address - Phone:937-435-5033
Practice Address - Fax:937-435-5512
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA 01009237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter