Provider Demographics
NPI:1225644271
Name:MAHER, LYNDSEY MICHELE (ND)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:MICHELE
Last Name:MAHER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 ROCKY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:CT
Mailing Address - Zip Code:06612-1013
Mailing Address - Country:US
Mailing Address - Phone:203-494-4433
Mailing Address - Fax:
Practice Address - Street 1:2661 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2900
Practice Address - Country:US
Practice Address - Phone:203-871-3262
Practice Address - Fax:203-868-0698
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT666175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath