Healthcare Provider Details

I. General information

NPI: 1467617696
Provider Name (Legal Business Name): LINDSEY ANN ROWLAND M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY A UPCHURCH MS, CCC-SLP

II. Dates (important events)

Enumeration Date: 07/28/2008
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N STATE ST STE 210
JACKSON MS
39202-2000
US

IV. Provider business mailing address

965 RIDGE LAKE BLVD STE 315
MEMPHIS TN
38120-9401
US

V. Phone/Fax

Practice location:
  • Phone: 601-714-3202
  • Fax: 601-714-3416
Mailing address:
  • Phone:
  • Fax: 901-227-3235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberS3285
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: