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NPI Code Detail

MEDICARE: LYNDI JO EUDY SLP

MEDICARE:   LYNDI JO EUDY  SLP
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
1235Z00000XSpeech-Language Pathologist114835TX

General Provider Information

NPI Number : 1679139299
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDI JO EUDY SLP
Provider Business Mailing Address
First Line : PO BOX 961205
Second Line :
City : FORT WORTH
State : TX
Zip : 76161-0205
Country : US
Telephone Number : 817-740-8450
Fax Number :
Provider Business Practice Location Address
First Line : 923 PENNSYLVANIA AVE STE 100
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2254
Country : US
Telephone Number : 817-920-0484
Fax Number : 817-920-0068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2019
Last Update Date : 01/07/2026

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Directions to “ LYNDI JO EUDY SLP” Practice Location

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