Provider Demographics
NPI:1710259502
Name:ELZNER, LYNDSEY PAIGE (MS CCC/SLP)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:PAIGE
Last Name:ELZNER
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:LYNDSEY
Other - Middle Name:PAIGE
Other - Last Name:BEENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC/SLP
Mailing Address - Street 1:9925 GREENFIELD DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2601
Mailing Address - Country:US
Mailing Address - Phone:214-543-6581
Mailing Address - Fax:214-559-0210
Practice Address - Street 1:9925 GREENFIELD DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2601
Practice Address - Country:US
Practice Address - Phone:214-543-6581
Practice Address - Fax:214-559-0210
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105642235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist