Provider Demographics
NPI:1851527246
Name:SMART, LINDSAY EVANS (PHD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:EVANS
Last Name:SMART
Suffix:
Gender:F
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:UNIVERSITY OF NEW MEXICO
Mailing Address - Street 2:MSC09 5030, 1 UNM
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-8845
Mailing Address - Fax:505-272-1876
Practice Address - Street 1:2301 YALE BLVD SE STE F1
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4354
Practice Address - Country:US
Practice Address - Phone:505-272-6238
Practice Address - Fax:505-272-1876
Is Sole Proprietor?:No
Enumeration Date:2009-05-31
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1186103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical