Provider Demographics
NPI:1083183867
Name:CLARK, LINDSEY L (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:L
Last Name:CLARK
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:L
Other - Last Name:LERKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3530 MORNING DEW LN
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-2824
Mailing Address - Country:US
Mailing Address - Phone:269-930-0854
Mailing Address - Fax:
Practice Address - Street 1:5134 STAGE RD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-3153
Practice Address - Country:US
Practice Address - Phone:901-440-3068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-21
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist