Provider Demographics
NPI:1982081386
Name:DRENKOW, LINDSEY (SLP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:DRENKOW
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 1:860 BLACK ARROW DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-7635
Mailing Address - Country:US
Mailing Address - Phone:856-305-3657
Mailing Address - Fax:719-208-7730
Practice Address - Street 1:2790 N ACADEMY BLVD
Practice Address - Street 2:SUITE 227
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5337
Practice Address - Country:US
Practice Address - Phone:719-425-7771
Practice Address - Fax:719-208-7730
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist