Provider Demographics
NPI:1710718143
Name:HICKEY, LINDSAY PATRICIA (NCC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:PATRICIA
Last Name:HICKEY
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:PATRICIA
Other - Last Name:IACOVAZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NCC
Mailing Address - Street 1:406 3RD ST
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:PA
Mailing Address - Zip Code:18517-1102
Mailing Address - Country:US
Mailing Address - Phone:570-877-4507
Mailing Address - Fax:
Practice Address - Street 1:1300 OLD PLANK RD
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:PA
Practice Address - Zip Code:18433-1973
Practice Address - Country:US
Practice Address - Phone:570-878-3833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor