Provider Demographics
NPI:1508416660
Name:WORTHAM, LINDSEY MICHELLE (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:WORTHAM
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:MICHELLE
Other - Last Name:SLAUGHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4414 MCDOWELL RUN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3853
Mailing Address - Country:US
Mailing Address - Phone:931-205-3815
Mailing Address - Fax:
Practice Address - Street 1:889 BELL RD STE A
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-3101
Practice Address - Country:US
Practice Address - Phone:615-730-6414
Practice Address - Fax:615-647-6601
Is Sole Proprietor?:No
Enumeration Date:2019-09-19
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3821235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist