Provider Demographics
NPI:1376993675
Name:WALTERS, LINDSEY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:WALTERS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:HAUSMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 N QUEEN ST
Mailing Address - Street 2:APT B
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2546
Mailing Address - Country:US
Mailing Address - Phone:574-274-5064
Mailing Address - Fax:
Practice Address - Street 1:600 N QUEEN ST
Practice Address - Street 2:APT B
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-2546
Practice Address - Country:US
Practice Address - Phone:574-274-5064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11407235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist