Provider Demographics
NPI:1114224367
Name:HOVLAND, LINDSAY MAE (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:MAE
Last Name:HOVLAND
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 HIGH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:MANITOU SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80829-2103
Mailing Address - Country:US
Mailing Address - Phone:719-650-6518
Mailing Address - Fax:
Practice Address - Street 1:612 HIGH ST APT 5
Practice Address - Street 2:
Practice Address - City:MANITOU SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80829-2103
Practice Address - Country:US
Practice Address - Phone:719-650-6518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0455778235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist