Provider Demographics
NPI:1194970194
Name:MENARD, LYNNE MARGARET (SLP)
Entity type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:MARGARET
Last Name:MENARD
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 QUEENS HWY
Mailing Address - Street 2:
Mailing Address - City:ACCORD
Mailing Address - State:NY
Mailing Address - Zip Code:12404-6121
Mailing Address - Country:US
Mailing Address - Phone:845-797-9782
Mailing Address - Fax:
Practice Address - Street 1:11 TANHOUSE BROOK ROAD
Practice Address - Street 2:
Practice Address - City:COTTEKILL
Practice Address - State:NY
Practice Address - Zip Code:12419
Practice Address - Country:US
Practice Address - Phone:845-797-9782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010305-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist