Provider Demographics
NPI:1659528644
Name:LAMBDIN, LINDSAY ANN (LCPC - ATR)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ANN
Last Name:LAMBDIN
Suffix:
Gender:F
Credentials:LCPC - ATR
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:EHLERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9649 W 55TH ST
Mailing Address - Street 2:COUNTRYSIDE
Mailing Address - City:COUNTRYSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-3632
Mailing Address - Country:US
Mailing Address - Phone:708-352-3580
Mailing Address - Fax:
Practice Address - Street 1:9649 W 55TH ST
Practice Address - Street 2:
Practice Address - City:COUNTRYSIDE
Practice Address - State:IL
Practice Address - Zip Code:60525-3632
Practice Address - Country:US
Practice Address - Phone:708-352-3580
Practice Address - Fax:708-352-9728
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILBACB231098103K00000X
ILATCB#11-004221700000X
IL180.008126101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist