Provider Demographics
NPI:1265101828
Name:MAJOR, LYNETTE MARY (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:MARY
Last Name:MAJOR
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:LYNETTE
Other - Last Name:MAJOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SPEECH PATHOLOGIST
Mailing Address - Street 1:SOUTH PLAINS EDUCATIONAL COOP
Mailing Address - Street 2:704 11TH ST.
Mailing Address - City:LEVELLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79336
Mailing Address - Country:US
Mailing Address - Phone:806-894-6858
Mailing Address - Fax:
Practice Address - Street 1:SOUTH PLAINS EDUCATIONAL COOP
Practice Address - Street 2:704 11TH ST.
Practice Address - City:LEVELLAND
Practice Address - State:TX
Practice Address - Zip Code:79336
Practice Address - Country:US
Practice Address - Phone:806-894-6858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11728235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist