Provider Demographics
NPI:1972837847
Name:CRAVEN, LYNDSEY N (AUD)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:N
Last Name:CRAVEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 PINEWOOD CT
Mailing Address - Street 2:APT 6
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53714-1976
Mailing Address - Country:US
Mailing Address - Phone:608-219-1309
Mailing Address - Fax:
Practice Address - Street 1:2500 OVERLOOK TER
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2254
Practice Address - Country:US
Practice Address - Phone:608-280-7175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI532-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist