Provider Demographics
NPI:1013229277
Name:LINDSAY, CAREY DENICE (MA CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:CAREY
Middle Name:DENICE
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 CLAIREMONT
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-1592
Mailing Address - Country:US
Mailing Address - Phone:805-636-1237
Mailing Address - Fax:
Practice Address - Street 1:11222 LINDA LN
Practice Address - Street 2:UNIT C
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-5284
Practice Address - Country:US
Practice Address - Phone:805-636-1237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-04
Last Update Date:2010-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12928235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist