Provider Demographics
NPI:1346332244
Name:LINDSAY, PATRICIA ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:LINDSAY
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:PO BOX 683966
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84068-3966
Mailing Address - Country:US
Mailing Address - Phone:435-658-9297
Mailing Address - Fax:435-658-9298
Practice Address - Street 1:1743 W REDSTONE CENTER DR
Practice Address - Street 2:SUITE 115
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098
Practice Address - Country:US
Practice Address - Phone:435-658-9297
Practice Address - Fax:435-658-9298
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1161882501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000074005Medicare PIN
R61018Medicare UPIN
UT74005Medicare ID - Type Unspecified