Individual
REBECCA MAUREEN LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5105 17TH AVE S, GULFPORT, FL 33707-4377
(781) 385-9148
Mailing address
5105 17TH AVE S, GULFPORT, FL 33707-4377
(781) 385-9148
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
08/09/2017
Last updated
05/17/2021
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