Provider Demographics
NPI:1720340870
Name:WHITE, LINDSAY
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:WHITE
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 1:2008 CATHARINE DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-6916
Mailing Address - Country:US
Mailing Address - Phone:870-404-9265
Mailing Address - Fax:
Practice Address - Street 1:2008 CATHARINE DR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-6916
Practice Address - Country:US
Practice Address - Phone:870-404-9265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA1539231H00000X
MS3411231H00000X
ARA321231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12157837OtherAMERICAN SPEECH LANGUAGE HEARING ASSOCIATION (ASHA)