Provider Demographics
NPI:1114274164
Name:LINDSAY, DAVID (MPS, MED)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:MPS, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2574 HARBISON AVE SW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32908-1331
Mailing Address - Country:US
Mailing Address - Phone:914-258-0302
Mailing Address - Fax:
Practice Address - Street 1:3270 SUNTREE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7540
Practice Address - Country:US
Practice Address - Phone:321-610-7949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor