Provider Demographics
NPI:1477110021
Name:BURTON, LINDSEY KATHLEEN (SLPA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KATHLEEN
Last Name:BURTON
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17477 FM 1716 E
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75652-9470
Mailing Address - Country:US
Mailing Address - Phone:903-399-5203
Mailing Address - Fax:888-245-6178
Practice Address - Street 1:1011 W LOOP 281 STE 1
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-2932
Practice Address - Country:US
Practice Address - Phone:903-309-3816
Practice Address - Fax:888-245-6178
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX409432355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant