Provider Demographics
NPI:1922249945
Name:RESNICK, LINDSAY BROWN
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:BROWN
Last Name:RESNICK
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:CHRISTINE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 MILMONT SHORES RD
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-8273
Mailing Address - Country:US
Mailing Address - Phone:803-760-6767
Mailing Address - Fax:
Practice Address - Street 1:111 MILMONT SHORES RD
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-8273
Practice Address - Country:US
Practice Address - Phone:803-760-6767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-20
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4445235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist