Healthcare Provider Details

I. General information

NPI: 1689227662
Provider Name (Legal Business Name): LINDSEY CROSS SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2019
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 EDDY ST
PROVIDENCE RI
02905-4739
US

IV. Provider business mailing address

3 FLORENCE ST
RIVERSIDE RI
02915-2630
US

V. Phone/Fax

Practice location:
  • Phone: 401-533-9100
  • Fax:
Mailing address:
  • Phone: 719-651-9979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP02079
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: