Provider Demographics
NPI:1457607277
Name:BONDURANT, LINDSAY MARIE (PHD, CCC-A)
Entity Type:Individual
Prefix:PROF
First Name:LINDSAY
Middle Name:MARIE
Last Name:BONDURANT
Suffix:
Gender:F
Credentials:PHD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8380 OLD YORK RD # 1200
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1539
Mailing Address - Country:US
Mailing Address - Phone:215-780-3180
Mailing Address - Fax:215-780-3182
Practice Address - Street 1:8380 OLD YORK RD # 1200
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1539
Practice Address - Country:US
Practice Address - Phone:215-780-3180
Practice Address - Fax:215-780-3182
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT001174L231H00000X
IL147.001350231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist