Provider Demographics
NPI:1093426918
Name:TATE, LINDSAY ASHLYN
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ASHLYN
Last Name:TATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-8207
Mailing Address - Country:US
Mailing Address - Phone:919-603-7600
Mailing Address - Fax:
Practice Address - Street 1:102 LEONARD AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-9649
Practice Address - Country:US
Practice Address - Phone:828-464-8260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist