Provider Demographics
NPI:1558973834
Name:LIND, BRITTNEY R (PSYD)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:R
Last Name:LIND
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 1:1740 RIDGE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-5909
Mailing Address - Country:US
Mailing Address - Phone:224-662-1724
Mailing Address - Fax:847-475-7333
Practice Address - Street 1:1740 RIDGE AVE STE 201
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-5909
Practice Address - Country:US
Practice Address - Phone:224-662-1724
Practice Address - Fax:847-475-7333
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071010300103TC0700X
103TC1900X
IL071.010300103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical