Provider Demographics
NPI:1558517276
Name:EADES, LINDSEY BROOK (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:BROOK
Last Name:EADES
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BULLDOG DR
Mailing Address - Street 2:
Mailing Address - City:PLUMERVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72127-8803
Mailing Address - Country:US
Mailing Address - Phone:501-354-2269
Mailing Address - Fax:
Practice Address - Street 1:101 BULLDOG DR
Practice Address - Street 2:
Practice Address - City:PLUMERVILLE
Practice Address - State:AR
Practice Address - Zip Code:72127-8803
Practice Address - Country:US
Practice Address - Phone:501-354-2269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist