Healthcare Provider Details

I. General information

NPI: 1194144980
Provider Name (Legal Business Name): CHRISTI LINDOW MA, CCC-SPL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 04/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 FRANCES MEEKS WAY STE 5
RICHMOND HILL GA
31324-3984
US

IV. Provider business mailing address

128 FRANCES MEEKS WAY, #5
RICHMOND HILL GA
31324
US

V. Phone/Fax

Practice location:
  • Phone: 912-727-2321
  • Fax:
Mailing address:
  • Phone: 614-314-1165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP008370
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: