Individual
MISS CARLA RENEE LYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2247
(404) 686-2386
Mailing address
805 RODNEY DR SW, ATLANTA, GA 30311-2350
(404) 755-1519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004762
GA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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