Provider Demographics
NPI:1942421318
Name:TREADWAY, LINDSEY JOHNSON (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:JOHNSON
Last Name:TREADWAY
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:MRS
Other - First Name:LINDSEY
Other - Middle Name:JOHNSON
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC/SLP
Mailing Address - Street 1:106 ANDREW RD
Mailing Address - Street 2:
Mailing Address - City:ENGLAND
Mailing Address - State:AR
Mailing Address - Zip Code:72046-1229
Mailing Address - Country:US
Mailing Address - Phone:501-743-5283
Mailing Address - Fax:
Practice Address - Street 1:518 NORTHEAST FRONT STREET
Practice Address - Street 2:
Practice Address - City:LONOKE
Practice Address - State:AR
Practice Address - Zip Code:72086
Practice Address - Country:US
Practice Address - Phone:501-743-5283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2645235Z00000X
ARSP#P7927235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist