Provider Demographics
NPI:1780813154
Name:ANDERSON, LINDSEY A (AUD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:A
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1225 BRECKENRIDGE DR
Mailing Address - Street 2:BRECKENRIDGE PROFESSIONAL BUILDING
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-1558
Mailing Address - Country:US
Mailing Address - Phone:501-225-2922
Mailing Address - Fax:501-225-3618
Practice Address - Street 1:1225 BRECKENRIDGE DR
Practice Address - Street 2:BRECKENRIDGE PROFESSIONAL BUILDING
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-1558
Practice Address - Country:US
Practice Address - Phone:501-225-2922
Practice Address - Fax:501-225-3618
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA6153237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter