Provider Demographics
NPI:1568845428
Name:YOUNG, LINDSAY GEORGE (MED, CFY-SLP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:GEORGE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MED, CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 N PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31601-4528
Mailing Address - Country:US
Mailing Address - Phone:229-469-6932
Mailing Address - Fax:229-469-6933
Practice Address - Street 1:809 N PATTERSON ST
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31601-4528
Practice Address - Country:US
Practice Address - Phone:229-469-6932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCET002202235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist