Healthcare Provider Details

I. General information

NPI: 1629984596
Provider Name (Legal Business Name): LYNDSI RENEE NEGRETE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 JORDAN DR
LAREDO TX
78041-9115
US

IV. Provider business mailing address

307 JORDAN DR
LAREDO TX
78041-9115
US

V. Phone/Fax

Practice location:
  • Phone: 956-334-7397
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: