Individual
MS. LYNN U. HEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC,SLP,CDRS
Contact information
Practice address
4120 N 20TH ST, STE. G, PHOENIX, AZ 85016-6022
(602) 881-9500
(602) 957-2943
Mailing address
4120 N 20TH ST, STE. G, PHOENIX, AZ 85016-6022
(602) 881-9500
(602) 957-2943
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1145
AZ
235Z00000X
Speech-Language Pathologist
SLP5795
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01113520
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
MD
01
—
SLP5795
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
04/07/2011
Last updated
05/02/2011
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