Provider Demographics
NPI:1548997653
Name:SHEAFFER, LINDSAY LEIGH
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:LEIGH
Last Name:SHEAFFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6603 ROSEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:KLEIN
Mailing Address - State:TX
Mailing Address - Zip Code:77379-4159
Mailing Address - Country:US
Mailing Address - Phone:832-484-6228
Mailing Address - Fax:
Practice Address - Street 1:6603 ROSEBROOK LN
Practice Address - Street 2:
Practice Address - City:KLEIN
Practice Address - State:TX
Practice Address - Zip Code:77379-4159
Practice Address - Country:US
Practice Address - Phone:832-484-6228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1063552354Medicaid