Healthcare Provider Details
I. General information
NPI: 1215603246
Provider Name (Legal Business Name): MEGYN ALICE LINTNER M.S. CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/19/2021
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4301 N SARA RD STE 120
YUKON OK
73099-3682
US
IV. Provider business mailing address
11611 SURREY VILLAS CT
YUKON OK
73099-8977
US
V. Phone/Fax
- Phone: 405-982-2086
- Fax:
- Phone: 661-400-8876
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | CF909 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: