Provider Demographics
NPI:1417292640
Name:GOSIN-LYNCH, BARBARA REDFIELD
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:REDFIELD
Last Name:GOSIN-LYNCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:REDFIELD
Other - Last Name:GOSIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:29 TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-2805
Mailing Address - Country:US
Mailing Address - Phone:203-215-3085
Mailing Address - Fax:
Practice Address - Street 1:29 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-2805
Practice Address - Country:US
Practice Address - Phone:203-215-3085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001547235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist