Provider Demographics
NPI:1871659821
Name:LINDSEY, RICKY M JR
Entity Type:Individual
Prefix:MR
First Name:RICKY
Middle Name:M
Last Name:LINDSEY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10601 BEVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94603-3921
Mailing Address - Country:US
Mailing Address - Phone:510-568-7217
Mailing Address - Fax:
Practice Address - Street 1:800 F ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-3891
Practice Address - Country:US
Practice Address - Phone:650-637-1183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor