Provider Demographics
NPI:1467617696
Name:ROWLAND, LINDSEY ANN (MS)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:ANN
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:A
Other - Last Name:UPCHURCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:965 RIDGE LAKE BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-9401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:901-227-3235
Practice Address - Street 1:1200 N STATE ST STE 210
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39202-2000
Practice Address - Country:US
Practice Address - Phone:601-714-3202
Practice Address - Fax:601-714-3416
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS3285235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07681891Medicaid