Provider Demographics
NPI:1194937367
Name:DUTY, LINDSAY SIMS (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:SIMS
Last Name:DUTY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HALLETTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77964-2316
Mailing Address - Country:US
Mailing Address - Phone:361-798-0672
Mailing Address - Fax:
Practice Address - Street 1:402 HUBBARD ST
Practice Address - Street 2:
Practice Address - City:YOAKUM
Practice Address - State:TX
Practice Address - Zip Code:77995-4126
Practice Address - Country:US
Practice Address - Phone:361-293-2854
Practice Address - Fax:361-293-6826
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102499235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX102499OtherSTATE LISCENCE NUMBER SLP
TX45-5908Medicare ID - Type Unspecified