Provider Demographics
NPI:1578993937
Name:O'SHEA, LINDSAY ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:ANNE
Last Name:O'SHEA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2187 NEWCASTLE AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:CARDIFF
Mailing Address - State:CA
Mailing Address - Zip Code:92007-1848
Mailing Address - Country:US
Mailing Address - Phone:858-381-0242
Mailing Address - Fax:
Practice Address - Street 1:2187 NEWCASTLE AVE STE 103
Practice Address - Street 2:
Practice Address - City:CARDIFF
Practice Address - State:CA
Practice Address - Zip Code:92007-1848
Practice Address - Country:US
Practice Address - Phone:858-381-0242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11864229-2501103TC0700X
COPSY0005765103TC0700X
CAPSY33155103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA01261511Medicaid