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Individual
MS. LYNDA A. DISTEFANO
Active
Individual
MS. LYNDA A. DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00880
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010880005
ASHA MEMBERSHIP
—
01
—
3041
STATE LICENSE
MA
01
—
SP00880
STATE LICENSE
RI
Enumeration date
03/27/2008
Last updated
04/01/2025
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