Individual
LINDSEY HEIDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 3039, KANSAS CITY, KS 66160
(913) 588-5937
(913) 588-5923
Mailing address
3901 RAINBOW BLVD, MAIL STOP 3039, KANSAS CITY, KS 66160
(913) 588-5937
(913) 588-5923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3082
KS
235Z00000X
Speech-Language Pathologist
Primary
6869
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140R4
BLUE CROSS BLUE SHIELD NC
NC
01
—
188258
MEDCOST PROVIDER ID
NC
01
—
2010014110
MISSOURI LICENSE
MO
01
—
3082
STATE OF KANSAS
KS
05
—
7412354
—
NC
Enumeration date
02/06/2007
Last updated
10/27/2011
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