Provider Demographics
NPI:1073105680
Name:LINDSAY KRAEMER, PLLC
Entity Type:Organization
Organization Name:LINDSAY KRAEMER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NEUROPSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAEMER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:425-610-6018
Mailing Address - Street 1:15418 MAIN ST UNIT M301
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-9031
Mailing Address - Country:US
Mailing Address - Phone:425-610-6018
Mailing Address - Fax:
Practice Address - Street 1:15418 MAIN ST UNIT M301
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-9031
Practice Address - Country:US
Practice Address - Phone:425-610-6018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty