Provider Demographics
NPI:1962655449
Name:HOLMES, LINDSEY E (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:E
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:E
Other - Last Name:ASHWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 FOUNDATION WAY
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-9003
Mailing Address - Country:US
Mailing Address - Phone:304-264-1214
Mailing Address - Fax:304-264-1331
Practice Address - Street 1:2000 FOUNDATION WAY
Practice Address - Street 2:SUITE 1200
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-9003
Practice Address - Country:US
Practice Address - Phone:304-264-1214
Practice Address - Fax:304-264-1331
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSLP-1164235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist