Provider Demographics
NPI:1750674107
Name:THOMAS, LINDSAY RAE (SLP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:RAE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 SAVANNAH RIDGE RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9634
Mailing Address - Country:US
Mailing Address - Phone:919-285-2157
Mailing Address - Fax:919-285-2157
Practice Address - Street 1:1140 SAVANNAH RIDGE RD
Practice Address - Street 2:SUITE 111
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-9634
Practice Address - Country:US
Practice Address - Phone:919-285-2157
Practice Address - Fax:919-285-2157
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9028235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist