NPI | 1194278762 |
---|---|
Former Name | LINDSEY K MACY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1647) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4260-154) |
235Z00000X Speech-Language Pathologist, (Licence: MN 518157) | |
Enumeration Date | 2016-07-29 |
Last Update Date | 2022-12-08 |