MEDICARE: LINDSAY ELIZABETH MCDANIEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	108566	TX

General Provider Information

NPI Number	:	1578075628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY ELIZABETH MCDANIEL

Provider Business Mailing Address
First Line	:	8715 HANFORD DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6415
Country	:	US
Telephone Number	:	214-674-8792
Fax Number	:

Provider Business Practice Location Address
First Line	:	8715 HANFORD DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6415
Country	:	US
Telephone Number	:	214-674-8792
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	10/30/2017

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Directions to “ LINDSAY ELIZABETH MCDANIEL ” Practice Location

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