Provider Demographics
NPI:1740979756
Name:LINDSEY, CAROLINE O (CCC-SLP)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:O
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4331 OLD HIGHWAY 20
Mailing Address - Street 2:
Mailing Address - City:TUSCUMBIA
Mailing Address - State:AL
Mailing Address - Zip Code:35674-9252
Mailing Address - Country:US
Mailing Address - Phone:256-366-7638
Mailing Address - Fax:
Practice Address - Street 1:405 E DR HICKS BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5762
Practice Address - Country:US
Practice Address - Phone:256-767-1576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5347235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist