Provider Demographics
NPI:1316645625
Name:HUTTON, LYNDSAY
Entity type:Individual
Prefix:
First Name:LYNDSAY
Middle Name:
Last Name:HUTTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:TURNER
Mailing Address - State:MT
Mailing Address - Zip Code:59542-0144
Mailing Address - Country:US
Mailing Address - Phone:406-301-4242
Mailing Address - Fax:
Practice Address - Street 1:236 INDIANA ST
Practice Address - Street 2:
Practice Address - City:CHINOOK
Practice Address - State:MT
Practice Address - Zip Code:59523-9716
Practice Address - Country:US
Practice Address - Phone:406-344-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTSLP-LTD-LIC-195235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist