Provider Demographics
NPI:1689940611
Name:LUNDRY, LINDSEY ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ANN
Last Name:LUNDRY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 N 2ND ST STE B
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52732-3750
Mailing Address - Country:US
Mailing Address - Phone:563-293-6205
Mailing Address - Fax:866-496-4073
Practice Address - Street 1:2016 CEDAR PLAZA DR STE 1
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2286
Practice Address - Country:US
Practice Address - Phone:563-213-5082
Practice Address - Fax:866-496-4073
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001383101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health