Provider Demographics
NPI:1700120565
Name:MOREO, LYNDSEY L (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:L
Last Name:MOREO
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 1:323 CAMPBELL HILL RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-3405
Mailing Address - Country:US
Mailing Address - Phone:419-204-2370
Mailing Address - Fax:
Practice Address - Street 1:323 CAMPBELL HILL RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-3405
Practice Address - Country:US
Practice Address - Phone:419-204-2370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-18
Last Update Date:2012-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 10337235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist