Provider Demographics
NPI:1972153252
Name:BRODRICK, LINDSEY (MA SLP-CF)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:BRODRICK
Suffix:
Gender:F
Credentials:MA SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17716 CRICKET HILL DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3458
Mailing Address - Country:US
Mailing Address - Phone:301-785-1113
Mailing Address - Fax:
Practice Address - Street 1:17716 CRICKET HILL DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-3458
Practice Address - Country:US
Practice Address - Phone:301-785-1113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist