Provider Demographics
NPI:1477988418
Name:DENNISON, LINDSAY M (AUD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:DENNISON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:M
Other - Last Name:RAYBUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:23 CROSSROADS DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5420
Mailing Address - Country:US
Mailing Address - Phone:410-356-2626
Mailing Address - Fax:410-356-8945
Practice Address - Street 1:23 CROSSROADS DR
Practice Address - Street 2:SUITE 400
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5420
Practice Address - Country:US
Practice Address - Phone:410-356-2626
Practice Address - Fax:410-356-8945
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01304231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist