Individual
MRS. LYNETTE D VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
3225 S NOLAND RD, INDEPENDENCE 30, INDEPENDENCE, MO 64055
(816) 521-5300
Mailing address
3225 S NOLAND RD, INDEPENDENCE, MO 64055-1317
(816) 521-5300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01255
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466776812
—
MO
Enumeration date
04/11/2007
Last updated
06/09/2008
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