MEDICARE: LINDSEY BINFORD

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	SLPL5366	AZ

General Provider Information

NPI Number	:	1881715654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY BINFORD

Provider Business Mailing Address
First Line	:	15740 N 83RD AVE APT 1135
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-3895
Country	:	US
Telephone Number	:	360-320-9852
Fax Number	:

Provider Business Practice Location Address
First Line	:	4315 N MARYVALE PKWY
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85031-1942
Country	:	US
Telephone Number	:	623-691-1700
Fax Number	:

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	07/08/2007

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Directions to “ LINDSEY BINFORD ” Practice Location

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