Provider Demographics
NPI:1518397173
Name:RICCARDI, LINDSEY (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:
Last Name:RICCARDI
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:ZARNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:500 WITTENBERG WAY
Mailing Address - Street 2:BOX 928
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-0928
Mailing Address - Country:US
Mailing Address - Phone:724-625-4861
Mailing Address - Fax:
Practice Address - Street 1:400 W CULVERT ST
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-1580
Practice Address - Country:US
Practice Address - Phone:724-625-4861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009918235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist