Provider Demographics
NPI:1821230095
Name:SMITH, LINDSEY RACHEL (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RACHEL
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 REPTON CIR
Mailing Address - Street 2:#3205
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-2441
Mailing Address - Country:US
Mailing Address - Phone:518-569-0944
Mailing Address - Fax:
Practice Address - Street 1:3 REPTON CIR
Practice Address - Street 2:#3205
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2441
Practice Address - Country:US
Practice Address - Phone:518-569-0944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6848235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist