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Individual
LYN DEE HARRELSON
Active
Individual
LYN DEE HARRELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14398
CA
235Z00000X
Speech-Language Pathologist
SLP10763
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12064444
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION LICENSE #
—
01
—
14398
LICENSE TO PRACTICE SPEECH LANGUAGE PATHOLOGY
CA
Enumeration date
05/18/2018
Last updated
05/18/2018
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