Provider Demographics
NPI:1083703474
Name:LINDSEY, MARCIA J (PSYD)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:J
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6750 WEST LOOP SOUTH
Mailing Address - Street 2:# 1000
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-669-8947
Mailing Address - Fax:713-661-5803
Practice Address - Street 1:6750 WEST LOOP SOUTH
Practice Address - Street 2:# 1000
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-669-8947
Practice Address - Fax:713-661-5803
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22229103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
R64590Medicare UPIN
0099BVMedicare ID - Type Unspecified