Provider Demographics
NPI:1558870105
Name:LINDSEY WILNER
Entity Type:Organization
Organization Name:LINDSEY WILNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FORENSIC PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WILNER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:518-836-5536
Mailing Address - Street 1:1 WEST AVE
Mailing Address - Street 2:205
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12831-6045
Mailing Address - Country:US
Mailing Address - Phone:518-587-0499
Mailing Address - Fax:518-587-0536
Practice Address - Street 1:1 WEST AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-6045
Practice Address - Country:US
Practice Address - Phone:518-587-0499
Practice Address - Fax:518-587-0536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022202-1261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)