Doctor Name: | LINDSAY WATSON WHITLEY |
NPI Number: | 1376707976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 2202005461 |
Business Practice Address: | 19465 Deerfield Ave Suite 201 Lansdowne, VA - 201761701 |
Business Phone Number: | 7038587620 |
Business Fax Number: | |
Mailing Address: | 21777 Omeara Ter Apt 102, ASHBURN |
State: | VA |
Postal Code: | 201476751 |
Phone Number: | 7047406029 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202005461 |
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 |