Lyndsay Elizabeth Jarvis-Hagstrom

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PSL000582 Issued in PA

Practice address

905 Tower Rd
Bristol, PA 19007-3116

Phone

(215) 785-3201

NPI assigned

Jun 28, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1164084224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 NESHAMINY VALLEY DR",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201241",
            "telephone_number": "609-865-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 TOWER RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073116",
            "telephone_number": "215-785-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS-HAGSTROM",
        "first_name": "LYNDSAY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "PSL000582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Bristol, PA
• Providers in Bristol, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.