Provider Demographics
NPI:1477270247
Name:PETERS, LINDSEY LEE (LPC)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:LEE
Last Name:PETERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 WITMER ST
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-1948
Mailing Address - Country:US
Mailing Address - Phone:814-591-8059
Mailing Address - Fax:
Practice Address - Street 1:60 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-6016
Practice Address - Country:US
Practice Address - Phone:814-765-1149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014925101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional