Provider Demographics
NPI:1780949024
Name:OVERSTREET, LINDSEY B (PSYD)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:B
Last Name:OVERSTREET
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5003 WOODSIDE LN
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-3812
Mailing Address - Country:US
Mailing Address - Phone:903-452-5813
Mailing Address - Fax:
Practice Address - Street 1:920 FROSTWOOD DR STE 680
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2415
Practice Address - Country:US
Practice Address - Phone:903-452-5813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10118103TC0700X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical