Provider Demographics
NPI:1679997662
Name:PEARCE, LINDSAY
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:
Last Name:PEARCE
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 1:8146 BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-9522
Mailing Address - Country:US
Mailing Address - Phone:315-396-9969
Mailing Address - Fax:
Practice Address - Street 1:8146 BROOKWOOD DR
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-9522
Practice Address - Country:US
Practice Address - Phone:315-396-9969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist