Provider Demographics
NPI:1346897691
Name:CUMINGS, LYNETTE HEBERT (AUD)
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:HEBERT
Last Name:CUMINGS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LYNETTE
Other - Middle Name:HERBERT
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:17450 ST LUKES WAY STE 150
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-2003
Mailing Address - Country:US
Mailing Address - Phone:936-273-4437
Mailing Address - Fax:
Practice Address - Street 1:201 N HOUSTON ST
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-3821
Practice Address - Country:US
Practice Address - Phone:979-488-2912
Practice Address - Fax:936-273-3279
Is Sole Proprietor?:No
Enumeration Date:2019-08-21
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X
TX81130231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter