Healthcare Provider Details

I. General information

NPI: 1740897651
Provider Name (Legal Business Name): LINDSEY KATE ADAMS SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10788 BARSTOW RD
LUCERNE VALLEY CA
92356-7678
US

IV. Provider business mailing address

PO BOX 246
BIG BEAR LAKE CA
92315-0246
US

V. Phone/Fax

Practice location:
  • Phone: 928-458-0733
  • Fax:
Mailing address:
  • Phone: 928-458-0733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22423
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: