MEDICARE: LINDSEY LEE WEISSGARBER MS, CCC-SLP

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	111488	TX

General Provider Information

NPI Number	:	1710673058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY LEE WEISSGARBER MS, CCC-SLP

Provider Business Mailing Address
First Line	:	9427 LYNNGROVE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-2754
Country	:	US
Telephone Number	:	214-532-9698
Fax Number	:

Provider Business Practice Location Address
First Line	:	9427 LYNNGROVE DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-2754
Country	:	US
Telephone Number	:	214-532-9698
Fax Number	:

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

Provider Enumeration Date	:	04/11/2023
Last Update Date	:	04/11/2023

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Directions to “ LINDSEY LEE WEISSGARBER MS, CCC-SLP” Practice Location

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