Provider Demographics
NPI:1376198689
Name:MICHALS, LINDSEY MICHELLE (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:MICHALS
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:MRS
Other - First Name:LINDSEY
Other - Middle Name:MICHELLE
Other - Last Name:WERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS ED
Mailing Address - Street 1:384 LAMARCK DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4854
Mailing Address - Country:US
Mailing Address - Phone:716-983-4855
Mailing Address - Fax:
Practice Address - Street 1:2980 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-1918
Practice Address - Country:US
Practice Address - Phone:716-892-2060
Practice Address - Fax:716-892-0428
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-04
Last Update Date:2019-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY783107252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency