Provider Demographics
NPI:1871853176
Name:HORNE, LINDSAY B (MED, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:B
Last Name:HORNE
Suffix:
Gender:F
Credentials:MED, 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:PO BOX 1414
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28329-1414
Mailing Address - Country:US
Mailing Address - Phone:910-299-0700
Mailing Address - Fax:910-299-0800
Practice Address - Street 1:207A W MAIN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-4048
Practice Address - Country:US
Practice Address - Phone:910-299-0700
Practice Address - Fax:910-299-0800
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9903235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist