Provider Demographics
NPI:1639486392
Name:GARCIA, LINDSAY MERCEDES (MS, CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:MERCEDES
Last Name:GARCIA
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 1:306 GEMINI CT
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-5038
Mailing Address - Country:US
Mailing Address - Phone:917-209-7162
Mailing Address - Fax:
Practice Address - Street 1:6992 ADMETUS CT
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-3251
Practice Address - Country:US
Practice Address - Phone:917-209-7162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005981235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist