Healthcare Provider Details
I. General information
NPI: 1578478665
Provider Name (Legal Business Name): ELEANOR LYNCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2141 WISCONSIN AVE NW UNIT M
WASHINGTON DC
20007-2275
US
IV. Provider business mailing address
2700 Q ST NW APT 233
WASHINGTON DC
20007-5008
US
V. Phone/Fax
- Phone: 202-643-8250
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SLPCF2000204 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: