Provider Demographics
NPI:1265719157
Name:DOWNS, LINDSAY ANNE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANNE
Last Name:DOWNS
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 1:339 SHABBONA DR
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-1947
Mailing Address - Country:US
Mailing Address - Phone:630-660-4832
Mailing Address - Fax:
Practice Address - Street 1:339 SHABBONA DR
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-1947
Practice Address - Country:US
Practice Address - Phone:630-660-4832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-07
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010885235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist