Provider Demographics
NPI:1245685973
Name:FLAHERTY, LINDSAY (AUD)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:WHITNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 N GRAND AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-1765
Mailing Address - Country:US
Mailing Address - Phone:513-600-8714
Mailing Address - Fax:
Practice Address - Street 1:40 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-4107
Practice Address - Country:US
Practice Address - Phone:859-344-4440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.02012231H00000X
KY168778231H00000X
IN23002608A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist