Provider Demographics
NPI:1649765959
Name:ROBERTS, LINDSAY KAY (AUD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:KAY
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:KAY
Other - Last Name:CHURCHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:577 MICHIGAN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-4911
Mailing Address - Country:US
Mailing Address - Phone:616-393-2190
Mailing Address - Fax:
Practice Address - Street 1:577 MICHIGAN AVE STE 101
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4911
Practice Address - Country:US
Practice Address - Phone:616-393-2190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000800231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist