Provider Demographics
NPI:1174784136
Name:LINDSEY, RENEE UNDERWOOD (MA,, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:UNDERWOOD
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:MA,, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 CREEK CROSSING TRL
Mailing Address - Street 2:
Mailing Address - City:WHITSETT
Mailing Address - State:NC
Mailing Address - Zip Code:27377-9252
Mailing Address - Country:US
Mailing Address - Phone:336-380-0037
Mailing Address - Fax:
Practice Address - Street 1:1600 W FRIENDLY AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1209
Practice Address - Country:US
Practice Address - Phone:336-369-4337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4531235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist