Lindsey Overall, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Borger, TX
NPI 1396408043 · NPPES record last updated Oct 20, 2021
Key facts
- NPI
- 1396408043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 110435 (TX)
- Practice address
- 200 E 9TH St
Borger, TX 79007-3612 - Phone
- (806) 273-1008
- Fax
- (806) 273-1011
- NPI assigned
- Oct 20, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110435 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 110435 | TX | Yes |
Addresses
Primary practice location
200 E 9TH St
Borger, TX 79007-3612
Mailing address
200 E 9TH St
Borger, TX 79007-3612
Phone (806) 273-1008
NPI Registry JSON
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1396408043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 9TH ST",
"city": "BORGER",
"state": "TX",
"postal_code": "790073612",
"telephone_number": "806-273-1008",
"fax_number": "806-273-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E 9TH ST",
"city": "BORGER",
"state": "TX",
"postal_code": "790073612",
"telephone_number": "806-273-1008",
"fax_number": "806-273-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERALL",
"first_name": "LINDSEY",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "110435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Borger, TX
- NWTX Physician Network, PLLC
- NWTX Physician Network, PLLC
- NWTX Physician Network, PLLC
- Chelsea Lynn Opdenhoff
- Gary Louis Opdenhoff
- Panhandle Case Management
- Panhandle Isd
- Shaunda Lynn Patterson
- Plemons-Stinnett-Phillips Cisd
- Prime Healthcare Services Pampa LLC
All providers in Borger, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.