Provider Demographics
NPI:1003248758
Name:LINDSAY, HOLLIE MARIE
Entity Type:Individual
Prefix:
First Name:HOLLIE
Middle Name:MARIE
Last Name:LINDSAY
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 1:1121 A ST
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:OK
Mailing Address - Zip Code:73566-2422
Mailing Address - Country:US
Mailing Address - Phone:580-215-9030
Mailing Address - Fax:
Practice Address - Street 1:1500 N. MAIN
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:OK
Practice Address - Zip Code:73542-1421
Practice Address - Country:US
Practice Address - Phone:580-335-3320
Practice Address - Fax:580-335-7443
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health