Doctor Name: | MRS. LINDSAY ODUM BASS |
NPI Number: | 1962626275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP006091 |
Business Practice Address: | 600 Northern Way Apartment 1602 Winter Springs, FL - 327083800 |
Business Phone Number: | 9123988891 |
Business Fax Number: | |
Mailing Address: | 600 Northern Way, Apartment 1602 WINTER SPRINGS |
State: | FL |
Postal Code: | 327083800 |
Phone Number: | 9123988891 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 08/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |