Provider Demographics
NPI:1760927198
Name:LINDLEY, AMBER L (MCD, CF-SLP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:L
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:MCD, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 WEMBLETON DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-3666
Mailing Address - Country:US
Mailing Address - Phone:870-243-6150
Mailing Address - Fax:
Practice Address - Street 1:1407 MARKETPLACE DR STE 8&9
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-5227
Practice Address - Country:US
Practice Address - Phone:870-520-6261
Practice Address - Fax:870-520-6259
Is Sole Proprietor?:No
Enumeration Date:2016-12-20
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist