Provider Demographics
NPI:1780029025
Name:GARCIA, LINDSEY (MSCCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:WORRALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:4615 RANCH HOUSE WAY
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-6471
Mailing Address - Country:US
Mailing Address - Phone:307-388-0561
Mailing Address - Fax:307-388-0561
Practice Address - Street 1:4615 RANCH HOUSE WAY
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-6471
Practice Address - Country:US
Practice Address - Phone:307-388-0561
Practice Address - Fax:307-388-0561
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYSP-617235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist