Healthcare Provider Details

I. General information

NPI: 1447197447
Provider Name (Legal Business Name): LINDSEY DREW MOSELEY SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 ABBY LN
MILLBROOK AL
36054-3246
US

IV. Provider business mailing address

112 ABBY LN
MILLBROOK AL
36054-3246
US

V. Phone/Fax

Practice location:
  • Phone: 334-782-9198
  • Fax: 225-208-8208
Mailing address:
  • Phone: 334-782-9198
  • Fax: 225-208-8208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6049
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: