Individual
BETSY LINCOLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
510 LALLEY BLVD, FAIRFIELD, CT 06824-6712
(203) 259-0721
Mailing address
510 LALLEY BLVD, FAIRFIELD, CT 06824-6712
(203) 259-0721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001002
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001002
STATE LICENCE
CT
Enumeration date
03/04/2016
Last updated
03/04/2016
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