Active NPI
Therese Lynch
- Speech-Language Pathologist
- Glyndon, MD
National Provider Identifier
1295299568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 03341
- Practice address
- 325 Central Ave
Glyndon, MD 21071-4216 - Phone
- (443) 676-9591
- NPI assigned
- Jan 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 03341 | MD | Primary |
Addresses
Primary practice location
325 Central Ave
Glyndon, MD 21071-4216
Mailing address
325 Central Ave
Glyndon, MD 21071-4216
Phone (443) 676-9591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03341 | MD | MD | Clinical Neuropsychologist |
Interoperability endpoints
- theresa.lynch.p1@direct.mcg-hhs.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1295299568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 CENTRAL AVE",
"city": "GLYNDON",
"state": "MD",
"postal_code": "210714216",
"telephone_number": "443-676-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 CENTRAL AVE",
"city": "GLYNDON",
"state": "MD",
"postal_code": "210714216",
"telephone_number": "443-676-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "THERESE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "03341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glyndon, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.