Provider Demographics
NPI:1508923343
Name:LINDSAY, ALLEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COREY AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33706-1814
Mailing Address - Country:US
Mailing Address - Phone:727-341-1402
Mailing Address - Fax:727-376-6784
Practice Address - Street 1:100 COREY AVE
Practice Address - Street 2:
Practice Address - City:ST PETE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33706-1814
Practice Address - Country:US
Practice Address - Phone:727-341-1402
Practice Address - Fax:727-470-2634
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5315103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL59797OtherBLUE CROSS
FL240073OtherUNITED BEHAVIORAL HEALTH
FL240073OtherUNITED BEHAVIORAL HEALTH
FLS15144Medicare UPIN