Doctor Name: | MR. BRAD LEE LINDNER |
NPI Number: | 1326261652 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A,, CCC-SLP |
License Number: | 2202004065 |
Business Practice Address: | 601 Childrens Ln Norfolk, VA - 235071910 |
Business Phone Number: | 7576687000 |
Business Fax Number: | |
Mailing Address: | 448 Eden Roc Cir, Apt 203 VIRGINIA BEACH |
State: | VA |
Postal Code: | 234515488 |
Phone Number: | 7576505470 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202004065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |