Healthcare Provider Details

I. General information

NPI: 1336044684
Provider Name (Legal Business Name): LINDSEY DANIELLE GILDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

461 VAN RAALTE AVE
HOLLAND MI
49423-3942
US

IV. Provider business mailing address

320 W 24TH ST
HOLLAND MI
49423-4037
US

V. Phone/Fax

Practice location:
  • Phone: 616-494-2600
  • Fax:
Mailing address:
  • Phone: 616-494-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: