Provider Demographics
NPI:1114233830
Name:LINDLEY, CHRISTAL RAYE
Entity Type:Individual
Prefix:MRS
First Name:CHRISTAL
Middle Name:RAYE
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTAL
Other - Middle Name:RAYE
Other - Last Name:MELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16955 CORNER HILL CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-1925
Mailing Address - Country:US
Mailing Address - Phone:407-568-9154
Mailing Address - Fax:
Practice Address - Street 1:16955 CORNER HILL CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32820-1925
Practice Address - Country:US
Practice Address - Phone:407-568-9154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst