Basic Information
| Provider Information | |||||||||
| NPI: | 1841453040 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CILETTI | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6420 DUTCHMANS PARKWAY | ||||||||
| Address2: | SUITE 380 | ||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5028948441 | ||||||||
| FaxNumber: | 5023710929 | ||||||||
| Practice Location | |||||||||
| Address1: | 6420 DUTCHMANS PARKWAY | ||||||||
| Address2: | SUITE 380 | ||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5028948441 | ||||||||
| FaxNumber: | 5023710929 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2008 | ||||||||
| LastUpdateDate: | 02/02/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | Y | Speech, Language and Hearing Service Providers | Audiologist |
ID Information
| ID | Type | State | Issuer | Description | 1601000519 | 05 | MI | MEDICAID | P00767236 | 01 | KY | R R MEDICARE | OTHER |