Provider Demographics
NPI:1083886055
Name:COWAN, LYNDSEY ANN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:ANN
Last Name:COWAN
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 1:14 RADCLIFFE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-2319
Mailing Address - Country:US
Mailing Address - Phone:978-821-5222
Mailing Address - Fax:
Practice Address - Street 1:14 RADCLIFFE RD
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2319
Practice Address - Country:US
Practice Address - Phone:978-821-5222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-30
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7362235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist