Healthcare Provider Details

I. General information

NPI: 1043189483
Provider Name (Legal Business Name): JULIE LINDSTROM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 BRANSFORD AVE
NASHVILLE TN
37204-2811
US

IV. Provider business mailing address

421 LIBERTY PIKE APT 102
FRANKLIN TN
37064-3196
US

V. Phone/Fax

Practice location:
  • Phone: 615-545-5524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9095
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: