Individual
LYNN K. EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
945 N PASADENA, UNIT #12, MESA, AZ 85201-4308
(480) 890-2414
Mailing address
945 N PASADENA, UNIT #12, MESA, AZ 85201-4308
(480) 890-2414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0289
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377780
—
AZ
Enumeration date
02/21/2007
Last updated
07/09/2007
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