Provider Demographics
NPI:1922529452
Name:MAZZEO, LINDSAY (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:
Last Name:MAZZEO
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:FREEMANSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7277
Mailing Address - Country:US
Mailing Address - Phone:610-554-6256
Mailing Address - Fax:
Practice Address - Street 1:3606 NICHOLAS ST UNIT B
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5100
Practice Address - Country:US
Practice Address - Phone:610-554-6256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-06
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional