Healthcare Provider Details

I. General information

NPI: 1831761345
Provider Name (Legal Business Name): LINDSEY SNYDER M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 11/17/2022
Certification Date: 11/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 CORPORATE DR STE 101
KNOXVILLE TN
37923-4638
US

IV. Provider business mailing address

310 CORPORATE DR STE 101
KNOXVILLE TN
37923-4638
US

V. Phone/Fax

Practice location:
  • Phone: 865-693-5622
  • Fax: 865-769-0801
Mailing address:
  • Phone: 931-644-7163
  • Fax: 865-769-0801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7335
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: