Provider Demographics
NPI:1477964179
Name:HAUZIE, LINDSEY
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:
Last Name:HAUZIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8950 EMERALD HILL DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-6101
Mailing Address - Country:US
Mailing Address - Phone:740-657-5565
Mailing Address - Fax:
Practice Address - Street 1:8950 EMERALD HILL DR
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-6101
Practice Address - Country:US
Practice Address - Phone:740-657-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20626190103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool