Provider Demographics
NPI:1902913049
Name:BYNUM, LYNN ALBRIGHT (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:ALBRIGHT
Last Name:BYNUM
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 FIDDLERS RUN BLVD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-0095
Mailing Address - Country:US
Mailing Address - Phone:828-430-3558
Mailing Address - Fax:828-430-3522
Practice Address - Street 1:121 FIDDLERS RUN BLVD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-0095
Practice Address - Country:US
Practice Address - Phone:828-430-3558
Practice Address - Fax:828-430-3522
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3594235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11608880OtherCAQH
NC187376OtherMEDCOST
NC141U6OtherBCBS
NC7412490Medicaid
NC9418932OtherPHCS