Provider Demographics
NPI:1336196500
Name:LINDSLEY, JOY GILA NMI (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOY GILA
Middle Name:NMI
Last Name:LINDSLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:GILA
Other - Middle Name:NMI
Other - Last Name:LINDSLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:7 WHITE PINE LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-6321
Mailing Address - Country:US
Mailing Address - Phone:781-862-7331
Mailing Address - Fax:781-274-8779
Practice Address - Street 1:7 WHITE PINE LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-6321
Practice Address - Country:US
Practice Address - Phone:781-862-7331
Practice Address - Fax:781-274-8779
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2131103T00000X
NH298103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW02437Medicare ID - Type UnspecifiedMEDICARE AND BC PROVIDER