Provider Demographics
NPI:1730700964
Name:LINDSEY, TYLER SCOTT (CCC-SLP)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:SCOTT
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 OLD BRUNERSTOWN RD APT 112
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-8432
Mailing Address - Country:US
Mailing Address - Phone:502-457-9981
Mailing Address - Fax:
Practice Address - Street 1:6901 CARSLAW CT
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-8358
Practice Address - Country:US
Practice Address - Phone:502-480-1794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY270553235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist