Provider Demographics
NPI:1093889842
Name:ST THOMAS, LINDSAY ALT (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:ALT
Last Name:ST THOMAS
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 1:6 BELLE TER
Mailing Address - Street 2:
Mailing Address - City:COVINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18424-7809
Mailing Address - Country:US
Mailing Address - Phone:570-507-7649
Mailing Address - Fax:
Practice Address - Street 1:116 DEPOT ST APT 2
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1878
Practice Address - Country:US
Practice Address - Phone:570-507-7649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018251103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical