Provider Demographics
NPI:1811038748
Name:KNIGHTON, LINDY KAY (MS CCC)
Entity Type:Individual
Prefix:MS
First Name:LINDY
Middle Name:KAY
Last Name:KNIGHTON
Suffix:
Gender:F
Credentials:MS CCC
Other - Prefix:MRS
Other - First Name:LINDY
Other - Middle Name:KAY
Other - Last Name:SUNDEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC
Mailing Address - Street 1:215 2ND ST SE
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-3924
Mailing Address - Country:US
Mailing Address - Phone:701-857-4410
Mailing Address - Fax:
Practice Address - Street 1:215 2ND ST SE
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-3924
Practice Address - Country:US
Practice Address - Phone:701-857-4410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND923235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist