Provider Demographics
NPI:1255681177
Name:DALLOS, LINDSEY MICHELLE (SP ED)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:MICHELLE
Last Name:DALLOS
Suffix:
Gender:F
Credentials:SP ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2729 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-3837
Mailing Address - Country:US
Mailing Address - Phone:518-461-7688
Mailing Address - Fax:
Practice Address - Street 1:2729 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-3837
Practice Address - Country:US
Practice Address - Phone:518-461-7688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist