Provider Demographics
NPI:1750867537
Name:FRITZ, LINDSEY (MA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:FRITZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-4668
Mailing Address - Country:US
Mailing Address - Phone:952-451-6203
Mailing Address - Fax:
Practice Address - Street 1:190 S RIVER RIDGE CIR # 208
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-1627
Practice Address - Country:US
Practice Address - Phone:612-568-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist