Provider Demographics
NPI:1437411055
Name:VERSPRILLE, LINDSAY MOORE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:MOORE
Last Name:VERSPRILLE
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 1:7003 CAROLINA ROSE RD
Mailing Address - Street 2:
Mailing Address - City:HANAHAN
Mailing Address - State:SC
Mailing Address - Zip Code:29410-8295
Mailing Address - Country:US
Mailing Address - Phone:843-729-7161
Mailing Address - Fax:
Practice Address - Street 1:7003 CAROLINA ROSE RD
Practice Address - Street 2:
Practice Address - City:HANAHAN
Practice Address - State:SC
Practice Address - Zip Code:29410-8295
Practice Address - Country:US
Practice Address - Phone:843-729-7161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-10
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5066235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist