Individual
LYNETTE MARIE BELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2341 LINWOOD AVE, WILLIAMSPORT, PA 17701-1320
(570) 326-7770
Mailing address
2341 LINWOOD AVE, WILLIAMSPORT, PA 17701-1320
(570) 326-7770
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL004795L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013965420001
—
PA
Enumeration date
03/12/2007
Last updated
01/07/2016
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