Individual
RACHEL A LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 HILLCREST DR, ELGIN, AZ 85611-7802
(520) 455-4602
Mailing address
61 HILLCREST DR, ELGIN, AZ 85611-7802
(520) 455-4602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01110673
—
235Z00000X
Speech-Language Pathologist
1259
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01110673
ASHA AMERICAN SPEECH AND HEARING ASSOCIATION
—
01
—
1259
AZ DEPARTMENT OF HEALTH SERVICES OFFIE OF SPECIAL LICENSING
AZ
Enumeration date
05/31/2019
Last updated
05/31/2019
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