Healthcare Provider Details

I. General information

NPI: 1679267645
Provider Name (Legal Business Name): LYNDSEY SHARAY HORN MA, CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 LEXINGTON RD STE A
RICHMOND KY
40475-7924
US

IV. Provider business mailing address

2150 LEXINGTON RD STE A
RICHMOND KY
40475-7924
US

V. Phone/Fax

Practice location:
  • Phone: 859-353-5445
  • Fax: 859-353-5601
Mailing address:
  • Phone: 859-353-5445
  • Fax: 859-353-5601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: