Individual
ELISE M LINDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-SLP
Contact information
Practice address
201 CHESTNUT AVE, ALTOONA, PA 16601-4927
(814) 946-5411
(814) 940-8471
Mailing address
201 CHESTNUT AVE, ALTOONA, PA 16601-4927
(814) 946-5411
(814) 940-8471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1213
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032525050001
—
PA
05
—
56049
—
ND
Enumeration date
07/23/2012
Last updated
08/03/2023
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