Provider Demographics
NPI:1962813998
Name:BROWN MCCORMICK, LINDSEY MICHELLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:BROWN MCCORMICK
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 1:28671 TARLTON ADELPHI RD
Mailing Address - Street 2:
Mailing Address - City:LAURELVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43135-9721
Mailing Address - Country:US
Mailing Address - Phone:740-200-0101
Mailing Address - Fax:
Practice Address - Street 1:28671 TARLTON ADELPHI RD
Practice Address - Street 2:
Practice Address - City:LAURELVILLE
Practice Address - State:OH
Practice Address - Zip Code:43135-9721
Practice Address - Country:US
Practice Address - Phone:740-200-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2304101YM0800X
PAPC011711101YM0800X
KY170465101YM0800X
TN4196101YM0800X
174N00000X
OHE.1800652101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174N00000XOther Service ProvidersLactation Consultant, Non-RN