Provider Demographics
NPI:1952143588
Name:ROCK, LINDSAY ERIN
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ERIN
Last Name:ROCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 PIMLICO WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-4501
Mailing Address - Country:US
Mailing Address - Phone:215-896-8051
Mailing Address - Fax:
Practice Address - Street 1:377 HOES LN STE 300
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-4138
Practice Address - Country:US
Practice Address - Phone:732-494-4999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO1-0012382235Z00000X
PAPSL002247235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist