Provider Demographics
NPI:1144618273
Name:WALSH, LYNDSEY A (MAC, MS, LAC)
Entity Type:Individual
Prefix:MS
First Name:LYNDSEY
Middle Name:A
Last Name:WALSH
Suffix:
Gender:F
Credentials:MAC, MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 ELM ST STE I
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6500
Mailing Address - Country:US
Mailing Address - Phone:413-298-2122
Mailing Address - Fax:
Practice Address - Street 1:42 SUMMER ST STE 306A
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4652
Practice Address - Country:US
Practice Address - Phone:413-298-2122
Practice Address - Fax:413-410-4481
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-23
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261803171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist