Provider Demographics
NPI:1023032489
Name:NOVAK, LINDSAY JACQUELINE (MA, IMHP, CPC)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:JACQUELINE
Last Name:NOVAK
Suffix:
Gender:F
Credentials:MA, IMHP, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11911 ARBOR ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2970
Mailing Address - Country:US
Mailing Address - Phone:402-334-3044
Mailing Address - Fax:402-334-1693
Practice Address - Street 1:11911 ARBOR ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2970
Practice Address - Country:US
Practice Address - Phone:402-334-3044
Practice Address - Fax:402-334-1693
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2870101YM0800X
NE1500101YP2500X
NE93101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional