Maureen Louise Lyng, MC CC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015046-1 Issued in NY

Practice address

1635 Ohio St
Watertown, NY 13601-3032

Phone

(315) 786-7285

Fax

(315) 786-7270

NPI assigned

Nov 4, 2008

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

Other names 1

• Ms. Maureen Louise Spink Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1902059918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 OHIO ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013032",
            "telephone_number": "315-786-7285",
            "fax_number": "315-786-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 OHIO ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013032",
            "telephone_number": "315-786-7285",
            "fax_number": "315-786-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNG",
        "first_name": "MAUREEN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MC CC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015046-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "SPINK",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Watertown, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.