Provider Demographics
NPI:1396986568
Name:KIRATZIS, LINDSEY GRAHAM (SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:GRAHAM
Last Name:KIRATZIS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 PHILLIPS DR
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-2648
Mailing Address - Country:US
Mailing Address - Phone:870-215-2409
Mailing Address - Fax:
Practice Address - Street 1:906 E MATTHEWS AVE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-3050
Practice Address - Country:US
Practice Address - Phone:870-919-0274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist