Provider Demographics
NPI:1477849453
Name:LINDSAY, CHAD
Entity Type:Individual
Prefix:MR
First Name:CHAD
Middle Name:
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:
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 660
Mailing Address - Street 2:831 HWY 35
Mailing Address - City:COWLEY
Mailing Address - State:WY
Mailing Address - Zip Code:82420-0660
Mailing Address - Country:US
Mailing Address - Phone:307-899-0174
Mailing Address - Fax:
Practice Address - Street 1:831 HWY 35
Practice Address - Street 2:
Practice Address - City:COWLEY
Practice Address - State:WY
Practice Address - Zip Code:82420-0660
Practice Address - Country:US
Practice Address - Phone:307-899-0174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYCAP - 158OtherWYOMING MENTAL HEALTH PROFESSIONALS LICENSING BOARD