Provider Demographics
NPI:1689183212
Name:WEINZETL, LINDSEY MICHELLE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:WEINZETL
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 1:2419 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-8121
Mailing Address - Country:US
Mailing Address - Phone:360-601-4964
Mailing Address - Fax:360-601-4964
Practice Address - Street 1:2419 22ND AVE
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-8121
Practice Address - Country:US
Practice Address - Phone:360-601-4964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist