Provider Demographics
NPI:1114962628
Name:SALZBRENNER, LYNN GOLDSTEIN (AUD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:GOLDSTEIN
Last Name:SALZBRENNER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 BRUNSWICK LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-1411
Mailing Address - Country:US
Mailing Address - Phone:330-463-0149
Mailing Address - Fax:
Practice Address - Street 1:5010 MAYFIELD RD
Practice Address - Street 2:SUITE 116
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2695
Practice Address - Country:US
Practice Address - Phone:216-381-5011
Practice Address - Fax:216-381-9277
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0422231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist