Provider Demographics
NPI:1124391016
Name:ZIMMERMAN, LINDSAY ANN HALLETT (PSYD, HSPP)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:ANN HALLETT
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:PSYD, HSPP
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:HALLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD, HSPP
Mailing Address - Street 1:11350 N MERIDIAN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3531
Mailing Address - Country:US
Mailing Address - Phone:317-660-1221
Mailing Address - Fax:317-660-6223
Practice Address - Street 1:11350 N MERIDIAN ST STE 300
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032
Practice Address - Country:US
Practice Address - Phone:317-660-1221
Practice Address - Fax:317-660-6223
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.009334103TC0700X
IN20043135A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical