MEDICARE: LINDSEY MARIE THORNTON 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	114267	TX

General Provider Information

NPI Number	:	1700394418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY MARIE THORNTON M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	8300 BLUFF SPRINGS RD APT 706
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-6872
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 BLUFF SPRINGS RD APT 706
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78744-6872
Country	:	US
Telephone Number	:	210-557-5552
Fax Number	:

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

Provider Enumeration Date	:	01/16/2018
Last Update Date	:	05/02/2019

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Directions to “ LINDSEY MARIE THORNTON M.S. CCC-SLP” Practice Location

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