Individual
LYNN ANN SHORTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
105 8TH STREET, WINFIELD, MO 63389
(314) 913-2598
Mailing address
61 RIDGEFIELD CT, SAINT CHARLES, MO 63304-7261
(314) 913-2598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0431445
MO
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/31/2013
Last updated
09/24/2015
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