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MRS. LYNSEY LEE BATES MS CCCSLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1144351594
Individual Registrant:MRS. LYNSEY LEE BATES MS CCCSLP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1616 NORTH VINE MAGNOLIA, AR 71753-9740 US
Tel: 870-234-8979 Fax: 870-234-0118
Tel: 870-234-8979 Fax: 870-234-0118
Contact information for business:
173 PATTERSON LOOP EL DORADO, AR 71730-8477 US
Tel: 870-863-3367 Fax: 870-863-3367
Tel: 870-863-3367 Fax: 870-863-3367
Registration Information:
NPI: 1144351594
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | AR | SP2136 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 156170721 | AR | 05 |
