Provider Demographics
NPI:1689955320
Name:CLEMENS, LINDSAY C (MA LSLS CERT AVED)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:C
Last Name:CLEMENS
Suffix:
Gender:F
Credentials:MA LSLS CERT AVED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6642 BRANCH HILL GUINEA PIKE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9141
Mailing Address - Country:US
Mailing Address - Phone:513-791-1458
Mailing Address - Fax:513-791-4326
Practice Address - Street 1:6642 BRANCH HILL GUINEA PIKE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-9141
Practice Address - Country:US
Practice Address - Phone:513-791-1458
Practice Address - Fax:513-791-4326
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH15137502355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant