Lynette Rene Carlson, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5364 Issued in MN

Practice address

31 W College St
174 Chester Park
Duluth, MN 55812-1106

Phone

(218) 726-6151

Fax

(218) 726-8693

NPI assigned

Dec 11, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1871822320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 CHESTER PARK",
            "address_2": "31 WEST COLLEGE STREET",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558123010",
            "telephone_number": "218-726-6151",
            "fax_number": "218-726-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W COLLEGE ST",
            "address_2": "174 CHESTER PARK",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121106",
            "telephone_number": "218-726-6151",
            "fax_number": "218-726-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LYNETTE",
        "middle_name": "RENE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "5364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Nicole Carlson, MS
• Kali Elisabeth Carlson, MA, LPCC
• Kirstin M Carlson
• Laura Joy Carlson
• Luke D Carlson
• Mark James Carlson, M.D.
• Megan Carlson, RN
• Paige Marie Carlson
• Sandra Lee Carlson, RN, CNS
• Stephanie J Carlson, LICSW

• Speech-Language Pathologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.