Lacy Olivia Flynn, M.A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · French Lick, IN
NPI 1649576174 · NPPES record last updated Mar 16, 2021
Key facts
- NPI
- 1649576174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5085-154 (WI)
- Practice address
- 457 S State Road 145
French Lick, IN 47432-1036 - Phone
- (812) 936-9666
- NPI assigned
- Feb 1, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 22004475A | IN | MD | Speech-Language Pathologist |
| 5085-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22004475A | IN | |
| Speech-Language Pathologist | 235Z00000X | 5085-154 | WI | Yes |
Addresses
Primary practice location
457 S State Road 145
French Lick, IN 47432-1036
Mailing address
650 Pearl St
Rib Lake, WI 54470-9322
Phone (715) 427-5291
Other providers in French Lick, IN
- Karl Gregory Cortez
- Counseling for a Better You, LLC
- Loel D'Souza
- Deaconess Memorial Medical Center Inc
- Connie Rose Fields
- French Lick Fire Dept Inc
- Luke S Gerber
- Ashton Hager
- Kade Hinkle
- Indiana Health & Rehabilitation Centers
All providers in French Lick, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2021. 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.