Provider Demographics
NPI:1811572373
Name:LINDSLEY, TODD W (PHD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:W
Last Name:LINDSLEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 ETNA RD STE 350
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1497
Mailing Address - Country:US
Mailing Address - Phone:603-448-0055
Mailing Address - Fax:603-790-8442
Practice Address - Street 1:67 ETNA RD STE 350
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1497
Practice Address - Country:US
Practice Address - Phone:603-448-0055
Practice Address - Fax:603-790-8442
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1396103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling