Active NPI
Amy Lynch, CCC-SLP
- Speech-Language Pathologist
- Sistersville, WV
National Provider Identifier
1639175136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 201 Wood St
Sistersville, WV 26175-1523 - Phone
- (304) 652-1032
- NPI assigned
- Jun 21, 2005
- Sex
- Female
- Sole proprietor
- No
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
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 | Primary |
Addresses
Primary practice location
201 Wood St
Sistersville, WV 26175-1523
Mailing address
1523 4TH St
Moundsville, WV 26041-1732
Phone (304) 845-5885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7402055000 | Medicaid | WV |
NPI Registry JSON
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639175136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1523 4TH ST",
"city": "MOUNDSVILLE",
"state": "WV",
"postal_code": "260411732",
"telephone_number": "304-845-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 WOOD ST",
"city": "SISTERSVILLE",
"state": "WV",
"postal_code": "261751523",
"telephone_number": "304-652-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "AMY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7402055000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sistersville, WV
- Hayes Professional Service LLC
- Brian Holmes
- Christopher Isaly, PT
- Abigail Tamara Kerns
- Linda Liebold
- Marietta Memorial Hospital of Tyler County Inc
- Marietta Memorial Hospital of Tyler County Inc
- Marietta Memorial Hospital of Tyler County Inc
- Marietta Memorial Hospital of Tyler County Inc
- Marietta Memorial Hospital of Tyler County Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.