Provider Demographics
NPI:1477062214
Name:PERRY, LINDSEY KATHLEEN (MS, CCC-SLP-L)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:KATHLEEN
Last Name:PERRY
Suffix:
Gender:F
Credentials:MS, CCC-SLP-L
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:KATHLEEN
Other - Last Name:MASSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP-L
Mailing Address - Street 1:480 RIVER BLUFF RD.
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-2470
Mailing Address - Country:US
Mailing Address - Phone:847-331-1787
Mailing Address - Fax:
Practice Address - Street 1:500 E. NORTH ST.
Practice Address - Street 2:
Practice Address - City:STONINGTON
Practice Address - State:IL
Practice Address - Zip Code:62567
Practice Address - Country:US
Practice Address - Phone:217-325-3216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010758235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist