Individual
MRS. LYNANN MARIE MATERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 W PRINCE RD, TUCSON, AZ 85705-3014
(520) 696-8856
(520) 690-2405
Mailing address
4168 E BABBLING BROOK DR, TUCSON, AZ 85712-6634
(520) 320-7698
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL1364
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
567414
—
AZ
Enumeration date
10/16/2006
Last updated
07/08/2007
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