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NPI Code Detail

MEDICARE: LINDSEY HARRISON

MEDICARE:   LINDSEY  HARRISON
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
1235Z00000XSpeech-Language Pathologist114016TX

General Provider Information

NPI Number : 1114443116
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY HARRISON
Provider Business Mailing Address
First Line : 100 E FERGUSON ST
Second Line :
City : TYLER
State : TX
Zip : 75702-5759
Country : US
Telephone Number : 903-509-2040
Fax Number :
Provider Business Practice Location Address
First Line : 100 E FERGUSON ST
Second Line :
City : TYLER
State : TX
Zip : 75702-5759
Country : US
Telephone Number : 903-509-2040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2017
Last Update Date : 02/06/2026

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Directions to “ LINDSEY HARRISON ” Practice Location

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