Provider Demographics
NPI:1225475148
Name:LINDSEY, LISA D (LCAT ATR-BC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:D
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:LCAT ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18230 WEXFORD TER
Mailing Address - Street 2:3GG
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3141
Mailing Address - Country:US
Mailing Address - Phone:516-707-3173
Mailing Address - Fax:
Practice Address - Street 1:18230 WEXFORD TER
Practice Address - Street 2:3GG
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3141
Practice Address - Country:US
Practice Address - Phone:516-707-3173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-01
Last Update Date:2013-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001270221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist