Provider Demographics
NPI:1730643388
Name:HOOVER, LINDSAY NESTOR (MMT, MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:NESTOR
Last Name:HOOVER
Suffix:
Gender:F
Credentials:MMT, MT-BC
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:DIANE
Other - Last Name:NESTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT-BC
Mailing Address - Street 1:20 E BRUBAKER VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9630
Mailing Address - Country:US
Mailing Address - Phone:609-420-7915
Mailing Address - Fax:
Practice Address - Street 1:119 N 8TH ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17046-5011
Practice Address - Country:US
Practice Address - Phone:609-420-7915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty