MEDICARE: HEATHER LINDSAY 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	22869	RI

General Provider Information

NPI Number	:	1962283382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER LINDSAY SLP

Provider Business Mailing Address
First Line	:	21 CASEY LN
Second Line	:
City	:	COVENTRY
State	:	RI
Zip	:	02816-5044
Country	:	US
Telephone Number	:	401-419-2569
Fax Number	:

Provider Business Practice Location Address
First Line	:	383 OAKLAND BEACH AVE
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02889-9067
Country	:	US
Telephone Number	:	401-419-2569
Fax Number	:

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

Provider Enumeration Date	:	10/11/2023
Last Update Date	:	10/11/2023

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Directions to “ HEATHER LINDSAY SLP” Practice Location

Language	Start Address	Practice Location

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