NPI 1104906890 · live from the CMS NPI Registry
Lynne M Bourne, M.A. CCC-SLP
Speech-Language Pathologist, in Topeka, KS. National Provider Identifier 1104906890, active.
NPI record
| NPI | 1104906890 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2831 Sw 29th St, B, Topeka, KS 66614 |
| Practice phone | 785-271-9932 |
| Enumerated | October 16, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 00227 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.