Provider Demographics
NPI:1841687167
Name:KLEIN, LYNDI (SLP)
Entity type:Individual
Prefix:
First Name:LYNDI
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50805
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206-0805
Mailing Address - Country:US
Mailing Address - Phone:940-380-0311
Mailing Address - Fax:940-380-9605
Practice Address - Street 1:5201 INDIANA AVE
Practice Address - Street 2:200 CENTRAL
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-4200
Practice Address - Country:US
Practice Address - Phone:806-791-2100
Practice Address - Fax:806-791-2105
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19731235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist