Provider Demographics
NPI:1023528452
Name:HENDRIX, LINDSEY SUZANNE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:SUZANNE
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 PHARR RD NE APT 3226
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2548
Mailing Address - Country:US
Mailing Address - Phone:361-648-6800
Mailing Address - Fax:
Practice Address - Street 1:1955 CLIFF VALLEY WAY NE STE 245
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2438
Practice Address - Country:US
Practice Address - Phone:404-228-8558
Practice Address - Fax:404-228-8659
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP009634235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist