Provider Demographics
NPI:1578813713
Name:THORNTON, LINDSEY NICOLE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:NICOLE
Last Name:THORNTON
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Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:411 CAMINO DEL RIO S
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3530
Mailing Address - Country:US
Mailing Address - Phone:619-574-8181
Mailing Address - Fax:619-574-0802
Practice Address - Street 1:411 CAMINO DEL RIO S
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3530
Practice Address - Country:US
Practice Address - Phone:619-574-8181
Practice Address - Fax:619-574-0802
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
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Provider Licenses
StateLicense IDTaxonomies
CASP18792235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist