Provider Demographics
NPI:1063747095
Name:GABOS, LYNN (CCC/SLP)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:GABOS
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 THOMAS SPEAKMAN DR
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1367
Mailing Address - Country:US
Mailing Address - Phone:610-613-1498
Mailing Address - Fax:
Practice Address - Street 1:8 THOMAS SPEAKMAN DR
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1367
Practice Address - Country:US
Practice Address - Phone:610-613-1498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004864L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist