Provider Demographics
NPI:1962283382
Name:LINDSAY, HEATHER (SLP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:LINDSAY
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 1:21 CASEY LN
Mailing Address - Street 2:
Mailing Address - City:COVENTRY
Mailing Address - State:RI
Mailing Address - Zip Code:02816-5044
Mailing Address - Country:US
Mailing Address - Phone:401-419-2569
Mailing Address - Fax:
Practice Address - Street 1:383 OAKLAND BEACH AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-9067
Practice Address - Country:US
Practice Address - Phone:401-419-2569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI22869235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist