Provider Demographics
NPI:1699211326
Name:SCHWAB, LINDSAY (SPEECH-LANGUAGE PATH)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:SCHWAB
Suffix:
Gender:F
Credentials:SPEECH-LANGUAGE PATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1676 SUNSET AVE
Mailing Address - Street 2:THERAPY DEPT
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-5416
Mailing Address - Country:US
Mailing Address - Phone:315-801-8135
Mailing Address - Fax:315-801-8352
Practice Address - Street 1:1676 SUNSET AVE
Practice Address - Street 2:THERAPY DEPT
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-5416
Practice Address - Country:US
Practice Address - Phone:315-801-8135
Practice Address - Fax:315-801-8352
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026291235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist