Provider Demographics
NPI:1841453040
Name:CILETTI, LINDSAY (AUD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:CILETTI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 DUTCHMANS PARKWAY
Mailing Address - Street 2:SUITE 380
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205
Mailing Address - Country:US
Mailing Address - Phone:502-894-8441
Mailing Address - Fax:502-371-0929
Practice Address - Street 1:6420 DUTCHMANS PARKWAY
Practice Address - Street 2:SUITE 380
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205
Practice Address - Country:US
Practice Address - Phone:502-894-8441
Practice Address - Fax:502-371-0929
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1601000519Medicaid
KYP00767236OtherR R MEDICARE
KYP00767236OtherR R MEDICARE
IN195900KMedicare PIN
KY1276016Medicare PIN