Provider Demographics
NPI:1902189624
Name:LABROT, LINDSAY SHUFORD (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:SHUFORD
Last Name:LABROT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 HILLSBOROUGH RD
Mailing Address - Street 2:APT 3099
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4154
Mailing Address - Country:US
Mailing Address - Phone:678-427-9184
Mailing Address - Fax:
Practice Address - Street 1:2211 HILLSBOROUGH RD
Practice Address - Street 2:APT 3099
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4154
Practice Address - Country:US
Practice Address - Phone:678-427-9184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9601235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist