Provider Demographics
NPI:1215199864
Name:ARNDT, LYDIA MCKAY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:MCKAY
Last Name:ARNDT
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 1:2660 10TH AVE S STE 201
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1623
Mailing Address - Country:US
Mailing Address - Phone:205-933-9036
Mailing Address - Fax:205-933-9051
Practice Address - Street 1:2660 10TH AVE S STE 201
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1623
Practice Address - Country:US
Practice Address - Phone:205-933-9036
Practice Address - Fax:205-933-9051
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2732235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist