Provider Demographics
NPI:1629371596
Name:CUBA, LINDSEY N
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:N
Last Name:CUBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 WHARTON CIR
Mailing Address - Street 2:#201
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6614
Mailing Address - Country:US
Mailing Address - Phone:309-830-6119
Mailing Address - Fax:
Practice Address - Street 1:460 WHARTON CIR
Practice Address - Street 2:#201
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6614
Practice Address - Country:US
Practice Address - Phone:309-830-6119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist