Provider Demographics
NPI:1033488440
Name:NORTON, LYNETTE A (MS CCC/SLP)
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:A
Last Name:NORTON
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 N DIVISION ST
Mailing Address - Street 2:SUITE 618
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1600
Mailing Address - Country:US
Mailing Address - Phone:509-279-2555
Mailing Address - Fax:509-413-1489
Practice Address - Street 1:4407 N DIVISION ST
Practice Address - Street 2:SUITE 618
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1600
Practice Address - Country:US
Practice Address - Phone:509-279-2555
Practice Address - Fax:509-413-1489
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL 00002875235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1265793699OtherGROUP NPI