Provider Demographics
NPI:1295102119
Name:CULTRERA, LINDSEY ERIN
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ERIN
Last Name:CULTRERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11901 SANDY KNOLL CT
Mailing Address - Street 2:APT. # 822
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-5063
Mailing Address - Country:US
Mailing Address - Phone:941-224-5996
Mailing Address - Fax:
Practice Address - Street 1:11901 SANDY KNOLL CT
Practice Address - Street 2:APT. # 822
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-5063
Practice Address - Country:US
Practice Address - Phone:941-224-5996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-26
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ7051235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist