MEDICARE: LINDSAY LEE STULTZ M.A., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1013641786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY LEE STULTZ M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	2005 W OAK ST
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-5280
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 N COLLEGE AVE
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4404
Country	:	US
Telephone Number	:	870-863-8131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2022
Last Update Date	:	07/10/2022

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Directions to “ LINDSAY LEE STULTZ M.A., CCC-SLP” Practice Location

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