Provider Demographics
NPI:1871041129
Name:REINHARDT, LINDSAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:REINHARDT
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:MARINE FORCES COMMAND
Mailing Address - Street 2:1775 FORRESTAL DRIVE, ATTN: CREDENTIALS BLDG 41
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23551
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2D MARINE REGIMENT
Practice Address - Street 2:
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28542-0093
Practice Address - Country:US
Practice Address - Phone:910-450-6585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-15
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31237103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD0000Medicare UPIN