Provider Demographics
NPI:1003220492
Name:STARR, LINDSAY R (MHS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:R
Last Name:STARR
Suffix:
Gender:F
Credentials:MHS CCC-SLP
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:R
Other - Last Name:YODER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHS CCC-SLP
Mailing Address - Street 1:2124 CHATHAM AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-3634
Mailing Address - Country:US
Mailing Address - Phone:314-703-8013
Mailing Address - Fax:
Practice Address - Street 1:2124 CHATHAM AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-3634
Practice Address - Country:US
Practice Address - Phone:314-703-8013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10597235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist