Healthcare Provider Details

I. General information

NPI: 1831502384
Provider Name (Legal Business Name): LINDSEY SHEA UNDERWOOD AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. LINDSEY SHEA GOODMAN

II. Dates (important events)

Enumeration Date: 06/03/2014
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1256 N EISENHOWER DR
BECKLEY WV
25801-3120
US

IV. Provider business mailing address

1256 N EISENHOWER DR
BECKLEY WV
25801-3120
US

V. Phone/Fax

Practice location:
  • Phone: 304-254-2820
  • Fax: 304-254-2821
Mailing address:
  • Phone: 304-254-2820
  • Fax: 304-254-2821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: