Provider Demographics
NPI:1083240246
Name:HARDIE, LINDSAY FLETCHER (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:FLETCHER
Last Name:HARDIE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5423
Mailing Address - Street 2:
Mailing Address - City:INCLINE VILLAGE
Mailing Address - State:NV
Mailing Address - Zip Code:89450-5423
Mailing Address - Country:US
Mailing Address - Phone:775-476-8808
Mailing Address - Fax:
Practice Address - Street 1:923 TAHOE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:INCLINE VILLAGE
Practice Address - State:NV
Practice Address - Zip Code:89451-9443
Practice Address - Country:US
Practice Address - Phone:775-476-8808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0724103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical