Lindsey Trudeau, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL012123 Issued in PA

Practice address

160 Josephine Ave
Conshohocken, PA 19428-2834

Phone

(630) 204-7762

NPI assigned

Oct 8, 2014

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsey Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1437552270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 JOSEPHINE AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282834",
            "telephone_number": "302-047-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 JOSEPHINE AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282834",
            "telephone_number": "630-204-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDEAU",
        "first_name": "LINDSEY",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "JACKSON",
            "credential": "M.A. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Tomassetti
• Victoria Tornetta, M.S.
• Charlee Eileen Townsend
• Martha Jane Trexler, PHD
• Trinity Rehab Somerset PA (Trinity Rehab Conshohocken PA)
• William M Tsoubanos, D.C.
• Chloe Tu, MA, CCC-SLP
• Diane Johnston Tyson, LPC
• Claire Sinotte Uebele, R.PH.
• Daniela Liliana Ugarcovici, M.A.

• Speech-Language Pathologist in Conshohocken, PA
• Providers in Conshohocken, 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 Sep 29, 2023; 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.