Provider Demographics
NPI:1649554981
Name:VARGAS, LINDSAY (MCD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:VARGAS
Suffix:
Gender:F
Credentials:MCD
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MCD
Mailing Address - Street 1:3057 LORNA RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4514
Mailing Address - Country:US
Mailing Address - Phone:205-978-9939
Mailing Address - Fax:205-968-4157
Practice Address - Street 1:3057 LORNA RD
Practice Address - Street 2:SUITE 220
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-4514
Practice Address - Country:US
Practice Address - Phone:205-978-9939
Practice Address - Fax:205-968-4157
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3354235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist