Provider Demographics
NPI:1811599947
Name:MASTERS, LYNDSEY (LMHC)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:
Last Name:MASTERS
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 1:39 RICKARD ST
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-1309
Mailing Address - Country:US
Mailing Address - Phone:607-283-4883
Mailing Address - Fax:
Practice Address - Street 1:39 RICKARD ST
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-1309
Practice Address - Country:US
Practice Address - Phone:607-283-4883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009742101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health