Provider Demographics
NPI:1710370044
Name:PETERS, LYNDSEY (MS, CF-SLP)
Entity Type:Individual
Prefix:MS
First Name:LYNDSEY
Middle Name:
Last Name:PETERS
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 MONROEVILLE BLVD
Mailing Address - Street 2:CORPORATE ONE OFFICE PARK, BUILDING ONE, SUITE 450
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2522
Mailing Address - Country:US
Mailing Address - Phone:412-666-3811
Mailing Address - Fax:
Practice Address - Street 1:4055 MONROEVILLE BLVD
Practice Address - Street 2:CORPORATE ONE OFFICE PARK, BUILDING ONE, SUITE 450
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2522
Practice Address - Country:US
Practice Address - Phone:412-666-3811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program