Provider Demographics
NPI:1346470994
Name:CLARKSON, LINDSAY LIVINGSTON (MD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:LIVINGSTON
Last Name:CLARKSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 WILLARD AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4643
Mailing Address - Country:US
Mailing Address - Phone:301-654-5072
Mailing Address - Fax:301-656-3437
Practice Address - Street 1:4701 WILLARD AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4643
Practice Address - Country:US
Practice Address - Phone:301-654-5072
Practice Address - Fax:301-656-3437
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00374302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry