Provider Demographics
NPI:1992058804
Name:WILLIAMS, LINDSEY SUSANNE (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:SUSANNE
Last Name:WILLIAMS
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 1:10908 CRAZY WELL DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4598
Mailing Address - Country:US
Mailing Address - Phone:309-713-6357
Mailing Address - Fax:
Practice Address - Street 1:10908 CRAZY WELL DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4598
Practice Address - Country:US
Practice Address - Phone:309-713-6357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-17
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107362235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist