Provider Demographics
NPI:1174768139
Name:KAUFMAN, LINDSAY K (MS, SLP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:K
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ELLIS POTTER CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-2478
Mailing Address - Country:US
Mailing Address - Phone:608-316-1186
Mailing Address - Fax:608-252-1333
Practice Address - Street 1:14 ELLIS POTTER CT
Practice Address - Street 2:SUITE 200
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-2478
Practice Address - Country:US
Practice Address - Phone:608-316-1186
Practice Address - Fax:608-252-1333
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3179-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist