Provider Demographics
NPI:1750061370
Name:PINA GARCIA, LINDSAY (MS)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:PINA GARCIA
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 1:8 FOXGLOVE CT
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4926
Mailing Address - Country:US
Mailing Address - Phone:630-706-0652
Mailing Address - Fax:
Practice Address - Street 1:8 FOXGLOVE CT
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-4926
Practice Address - Country:US
Practice Address - Phone:630-706-0652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.007202235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist