Provider Demographics
NPI:1295134740
Name:LINDSAY, NNENNA (PHD)
Entity type:Individual
Prefix:DR
First Name:NNENNA
Middle Name:
Last Name:LINDSAY
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 1:15 TRIEBLE AVENUE
Mailing Address - Street 2:SUITE 5 PMB 1013
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020
Mailing Address - Country:US
Mailing Address - Phone:518-306-1024
Mailing Address - Fax:
Practice Address - Street 1:15 TRIEBLE AVENUE
Practice Address - Street 2:SUITE 5 PMB 1013
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020
Practice Address - Country:US
Practice Address - Phone:518-306-1024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling