Provider Demographics
NPI:1891066700
Name:GANAS, LINDSEY FLANDERS (MED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:FLANDERS
Last Name:GANAS
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 1:131 AVALON RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-8361
Mailing Address - Country:US
Mailing Address - Phone:843-560-9172
Mailing Address - Fax:843-285-8317
Practice Address - Street 1:131 AVALON RD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-8361
Practice Address - Country:US
Practice Address - Phone:843-560-9172
Practice Address - Fax:843-285-8317
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5196235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist