Provider Demographics
NPI:1316432446
Name:PHILLIPS, LINDSAY FRANCES (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:FRANCES
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7509 POPLAR LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-9438
Mailing Address - Country:US
Mailing Address - Phone:319-404-5805
Mailing Address - Fax:
Practice Address - Street 1:7509 POPLAR LN
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-9438
Practice Address - Country:US
Practice Address - Phone:319-404-5805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-01
Last Update Date:2018-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001739235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist