Provider Demographics
NPI:1265817738
Name:FERRIS, LINDSEY COLLEEN (MA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:COLLEEN
Last Name:FERRIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 BROOKVIEW RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-1619
Mailing Address - Country:US
Mailing Address - Phone:410-925-6709
Mailing Address - Fax:
Practice Address - Street 1:1221 BROOKVIEW RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-1619
Practice Address - Country:US
Practice Address - Phone:410-925-6709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist