Provider Demographics
NPI:1174291967
Name:NOLAN, LINDSAY MAUREEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:MAUREEN
Last Name:NOLAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4026 PLANK RD STE A
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-4800
Mailing Address - Country:US
Mailing Address - Phone:703-463-6485
Mailing Address - Fax:
Practice Address - Street 1:4026 PLANK RD STE A
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-4800
Practice Address - Country:US
Practice Address - Phone:703-463-6485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-06
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810007567103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist