Individual
LINDSAY NICOLE BLYSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
135 KALASSAY DR, LIGONIER, PA 15658-8726
(724) 972-5949
(724) 238-2614
Mailing address
135 KALASSAY DR, LIGONIER, PA 15658-8726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013576
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SL013576
STATE LICENCE
—
Enumeration date
06/20/2018
Last updated
06/20/2018
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