Provider Demographics
NPI:1568647584
Name:LINDSAY PETERS SINCLAIR PSYD PA
Entity Type:Organization
Organization Name:LINDSAY PETERS SINCLAIR PSYD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:PETERS
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD PA
Authorized Official - Phone:727-434-2251
Mailing Address - Street 1:587 S DUNCAN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-6256
Mailing Address - Country:US
Mailing Address - Phone:727-434-2251
Mailing Address - Fax:727-953-8629
Practice Address - Street 1:587 S DUNCAN AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-6256
Practice Address - Country:US
Practice Address - Phone:727-434-2251
Practice Address - Fax:727-953-8629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7536103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty