Provider Demographics
NPI:1679294425
Name:FRIEDRICH, LINDY MICHELLE
Entity type:Individual
Prefix:MRS
First Name:LINDY
Middle Name:MICHELLE
Last Name:FRIEDRICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6625 N CATTLETRACK RD
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-3385
Mailing Address - Country:US
Mailing Address - Phone:928-759-4300
Mailing Address - Fax:
Practice Address - Street 1:6625 N CATTLETRACK RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-3385
Practice Address - Country:US
Practice Address - Phone:928-759-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-09
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA134742355S0801X
2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant