Provider Demographics
NPI:1679847461
Name:PARKER, LYNDSI (CSW)
Entity Type:Individual
Prefix:
First Name:LYNDSI
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:LYNDSI
Other - Middle Name:
Other - Last Name:VAILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:3401 LOOP 306
Mailing Address - Street 2:STE A
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-5987
Mailing Address - Country:US
Mailing Address - Phone:801-313-0555
Mailing Address - Fax:
Practice Address - Street 1:740 E 3900 S
Practice Address - Street 2:SUITE 200
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2181
Practice Address - Country:US
Practice Address - Phone:801-313-0555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-27
Last Update Date:2017-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker