Provider Demographics
NPI:1073576534
Name:SCANLAN, LINDSAY OWEN (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:OWEN
Last Name:SCANLAN
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4628 CHILDRESS TRL
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8492
Mailing Address - Country:US
Mailing Address - Phone:972-668-4286
Mailing Address - Fax:
Practice Address - Street 1:2611 INTERNET BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9085
Practice Address - Country:US
Practice Address - Phone:972-377-7289
Practice Address - Fax:972-377-7657
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100150235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist