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Individual

GAY LYNN BARTLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
3122 WILMINGTON PIKE, KETTERING, OH 45429-4004
(937) 299-9337
(937) 299-9227
Mailing address
3122 WILMINGTON PIKE, KETTERING, OH 45429-4004
(937) 299-9337
(937) 299-9227

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4527
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2367282
OH
Enumeration date
06/25/2010
Last updated
06/25/2010
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