Provider Demographics
NPI:1467920553
Name:LEDING, LINDSAY NICOLE (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:NICOLE
Last Name:LEDING
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 N PLAZA CT STE C
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-2693
Mailing Address - Country:US
Mailing Address - Phone:479-262-2506
Mailing Address - Fax:479-262-2597
Practice Address - Street 1:615 N PLAZA CT STE C
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-2693
Practice Address - Country:US
Practice Address - Phone:479-262-2506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP200146235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist