MEDICARE: LINDSEY L CLARK M.S. 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	:	1083183867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY L CLARK M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	3530 MORNING DEW LN
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38133-2824
Country	:	US
Telephone Number	:	269-930-0854
Fax Number	:

Provider Business Practice Location Address
First Line	:	5134 STAGE RD
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38134-3153
Country	:	US
Telephone Number	:	901-440-3068
Fax Number	:

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

Provider Enumeration Date	:	11/21/2018
Last Update Date	:	06/05/2025

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Directions to “ LINDSEY L CLARK M.S. CCC-SLP” Practice Location

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