MEDICARE: LINDSEY GLEASON

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	261QA3000X	Augmentative Communication Clinic/Center
2	235Z00000X	Speech-Language Pathologist	2202005757	VA
3	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1467682419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY GLEASON

Provider Business Mailing Address
First Line	:	500 WASHINGTON ST STE 7
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23704-3508
Country	:	US
Telephone Number	:	757-392-4996
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 WASHINGTON ST STE 7
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23704-3508
Country	:	US
Telephone Number	:	757-392-4996
Fax Number	:

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

Provider Enumeration Date	:	07/23/2009
Last Update Date	:	01/21/2026

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Directions to “ LINDSEY GLEASON ” Practice Location

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