Provider Demographics
NPI:1497197479
Name:HOBBS-WILLIS, LINDSAY B (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:B
Last Name:HOBBS-WILLIS
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4145 S NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-5356
Mailing Address - Country:US
Mailing Address - Phone:417-889-7500
Mailing Address - Fax:417-889-7077
Practice Address - Street 1:4145 S NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5356
Practice Address - Country:US
Practice Address - Phone:417-889-7500
Practice Address - Fax:417-889-7077
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013023344231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist