Provider Demographics
NPI:1689098451
Name:SZYMANSKI, LINDSEY (EDS)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:SZYMANSKI
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:OH
Mailing Address - Zip Code:44672-1156
Mailing Address - Country:US
Mailing Address - Phone:330-418-8681
Mailing Address - Fax:
Practice Address - Street 1:14277 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:OH
Practice Address - Zip Code:44609-9504
Practice Address - Country:US
Practice Address - Phone:330-938-4470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3003228103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool