Provider Demographics
NPI:1629207121
Name:ROMICH, LINDSAY COLEMAN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:COLEMAN
Last Name:ROMICH
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 1:1545 MAYPINE COMMONS WAY
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-2735
Mailing Address - Country:US
Mailing Address - Phone:240-899-5543
Mailing Address - Fax:
Practice Address - Street 1:530 LITTLE COVE LN
Practice Address - Street 2:
Practice Address - City:LAKE WYLIE
Practice Address - State:SC
Practice Address - Zip Code:29710-8107
Practice Address - Country:US
Practice Address - Phone:803-619-4075
Practice Address - Fax:803-675-0920
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4486235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist