Healthcare Provider Details
I. General information
NPI: 1346916228
Provider Name (Legal Business Name): LINDSAY SELDEN CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/19/2021
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1208 3RD AVE S
BIRMINGHAM AL
35233-1311
US
IV. Provider business mailing address
1208 3RD AVE S
BIRMINGHAM AL
35233-1311
US
V. Phone/Fax
- Phone: 205-638-7518
- Fax: 205-638-2077
- Phone: 205-638-7518
- Fax: 205-638-2077
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: