Organization
SPEECH DELIVERS LANGUAGE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YASHARA D LYNCH M.S., CCC-SLP (OWNER)
(615) 839-8670
Entity
Organization
Contact information
Practice address
2375 E MAIN ST STE A202, SPARTANBURG, SC 29307-1400
(615) 839-8670
Mailing address
110 SOUTHPORT RD APT 49, SPARTANBURG, SC 29306-3866
(615) 839-8670
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1814
—
SC
Enumeration date
12/09/2019
Last updated
12/09/2019
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