MEDICARE: KRISTIN LYNCH SLP-CCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP.12632	OH

General Provider Information

NPI Number	:	1952775173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN LYNCH SLP-CCC

Provider Business Mailing Address
First Line	:	380 GRANVILLE ST
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-2947
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 CHAPELFIELD RD
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-2537
Country	:	US
Telephone Number	:	614-478-5575
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2015
Last Update Date	:	12/16/2025

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Directions to “ KRISTIN LYNCH SLP-CCC” Practice Location

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