Provider Demographics
NPI:1063708253
Name:MCLAIN, LYNN M (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:M
Last Name:MCLAIN
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 GREEN POND RD
Mailing Address - Street 2:COUNTRY MEADOWS NURSING CENTER -BLDG. 5-1
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-9662
Mailing Address - Country:US
Mailing Address - Phone:610-882-4110
Mailing Address - Fax:
Practice Address - Street 1:4025 GREEN POND RD
Practice Address - Street 2:COUNTRY MEADOWS NURSING CENTER -BLDG. 5-1
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9662
Practice Address - Country:US
Practice Address - Phone:610-882-4110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-26
Last Update Date:2011-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005905L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist