Provider Demographics
NPI:1972793198
Name:BROWN, LINDSAY S (MS/CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:S
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17381 STERLING LAKE DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33967-7221
Mailing Address - Country:US
Mailing Address - Phone:239-691-5576
Mailing Address - Fax:
Practice Address - Street 1:9470 CORKSCREW PALMS CIR STE 102
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-3305
Practice Address - Country:US
Practice Address - Phone:239-400-4221
Practice Address - Fax:239-567-5780
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3888180235Z00000X
WIB650000644930235Z00000X
FL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113611500Medicaid