Provider Demographics
NPI:1487712055
Name:MESSORE, LINDSAY B (SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:B
Last Name:MESSORE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:BRIANNE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:2224 WOODSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:LAKE VIEW
Mailing Address - State:NY
Mailing Address - Zip Code:14085-9417
Mailing Address - Country:US
Mailing Address - Phone:716-627-7369
Mailing Address - Fax:
Practice Address - Street 1:1025 RIDGE RD
Practice Address - Street 2:
Practice Address - City:LACKAWANNA
Practice Address - State:NY
Practice Address - Zip Code:14218-1755
Practice Address - Country:US
Practice Address - Phone:716-822-4781
Practice Address - Fax:716-825-5765
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016957235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist