Provider Demographics
NPI:1669683215
Name:WALKER, LYNETTE BLAIR (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LYNETTE
Middle Name:BLAIR
Last Name:WALKER
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:10916 SYMINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-1343
Mailing Address - Country:US
Mailing Address - Phone:502-338-5747
Mailing Address - Fax:502-452-1863
Practice Address - Street 1:2525 BARDSTOWN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-2665
Practice Address - Country:US
Practice Address - Phone:502-767-1188
Practice Address - Fax:502-452-1863
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYKY-3117235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist