Doctor Name: | LINDSEY RUSH |
NPI Number: | 1417299280 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 146010917 |
Business Practice Address: | 1310 E. Beltline Ave Se Suite 230 Grand Rapids, MI - 495064304 |
Business Phone Number: | 6165268947 |
Business Fax Number: | 6165268952 |
Mailing Address: | 1310 E. Beltline Ave Se, Suite 230 GRAND RAPIDS |
State: | MI |
Postal Code: | 495064304 |
Phone Number: | 6165268947 |
Fax Number: | 6165268952 |
NPI Enumeration Date: | 03/20/2013 |
NPI Last Update Date: | 11/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146010917 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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 |