Provider Demographics
NPI:1962786327
Name:KACAPYR, LINDSAY M (MS)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:KACAPYR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 SUNSET WEST CIR
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-9127
Mailing Address - Country:US
Mailing Address - Phone:315-447-7870
Mailing Address - Fax:
Practice Address - Street 1:284 RIDGE RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:NY
Practice Address - Zip Code:14882-8930
Practice Address - Country:US
Practice Address - Phone:607-533-3020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018468-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist