Amy Ruth Lynch, M.A.
Individual provider Active NPI Speech-Language Pathologist · Waveland, MS
NPI 1578897005 · NPPES record last updated Oct 1, 2009
Key facts
- NPI
- 1578897005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S2936 (MS)
- Practice address
- 518 Amelda St
Waveland, MS 39576-3202 - Phone
- (228) 254-0313
- NPI assigned
- Oct 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S2936 | MS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S2936 | MS | Yes |
Addresses
Primary practice location
518 Amelda St
Waveland, MS 39576-3202
Mailing address
PO Box 207
Waveland, MS 39576-0207
Phone (228) 254-0313
Other providers in Waveland, MS
- Donnell Juliette Landtroop
- Nga Le
- Rudy Letellier
- Desiree Lewis
- Kellie A Lutz
- Rachelle Ann Magee
- Tiffany Anne Mazzoli
- Lamonice Marie McCullom
- Momentum Medical Services, LLC
- Thomas Beatty Murphree Jr.
All providers in Waveland, MS · Speech-Language Pathologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.