Provider Demographics
NPI:1114422839
Name:SLOTT, LINDSAY M (SLPA)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:SLOTT
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:M
Other - Last Name:SLOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2715 LEXINGTON PARK DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-3319
Mailing Address - Country:US
Mailing Address - Phone:832-492-7062
Mailing Address - Fax:
Practice Address - Street 1:17314 SH 249
Practice Address - Street 2:STE 230
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064
Practice Address - Country:US
Practice Address - Phone:832-895-1794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40446235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist