MS. Lynette Kathleen Sproull, CCC-SLP
NPI #1609202266 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1609202266
- Entity Type
- Individual
- Name
- MS. Lynette Kathleen Sproull, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Sep 16, 2013
- Last Updated
- Sep 16, 2013
Practice Location
- Address
- 1501 WEBER DR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-4103
- Phone
- (618) 307-4961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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