Provider Demographics
NPI:1366977076
Name:WALLMAN, LINDSAY (MS)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:WALLMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 DAWES ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68003-1134
Mailing Address - Country:US
Mailing Address - Phone:308-293-6100
Mailing Address - Fax:
Practice Address - Street 1:820 VILLAGE SQ
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-7914
Practice Address - Country:US
Practice Address - Phone:402-932-0747
Practice Address - Fax:402-991-5685
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-01
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1942235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist