Provider Demographics
NPI:1912308545
Name:MURN, LINDSAY (PHD, LP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:MURN
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-1741
Mailing Address - Country:US
Mailing Address - Phone:406-763-6287
Mailing Address - Fax:
Practice Address - Street 1:530 N RIVERFRONT DR STE 230
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3740
Practice Address - Country:US
Practice Address - Phone:406-763-6287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5787103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist