Provider Demographics
NPI:1194332312
Name:AUSTIN, LINDSAY M (CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:M
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 MELTON RD
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9616
Mailing Address - Country:US
Mailing Address - Phone:828-779-2679
Mailing Address - Fax:
Practice Address - Street 1:76 MELTON RD
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9616
Practice Address - Country:US
Practice Address - Phone:828-779-2679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14190235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist