Provider Demographics
NPI:1366599664
Name:MANKOFF, LYN BUNDY (MA)
Entity type:Individual
Prefix:MRS
First Name:LYN
Middle Name:BUNDY
Last Name:MANKOFF
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:HIGHLAND AVE. 300 FERGUSON BUILDING
Mailing Address - Street 2:UNIVERSITY NORTH CAROLINA GREENSBORO
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27402-6170
Mailing Address - Country:US
Mailing Address - Phone:336-256-2003
Mailing Address - Fax:336-334-4475
Practice Address - Street 1:300 FERGUSON BUILDING
Practice Address - Street 2:UNIVERSITY NORTH CAROLINA GREENSBORO
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27402-6170
Practice Address - Country:US
Practice Address - Phone:336-334-5939
Practice Address - Fax:336-334-4475
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1757235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist