Provider Demographics
NPI:1730199928
Name:LINDSAY, LISA L (PHD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:L
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-2700
Mailing Address - Country:US
Mailing Address - Phone:585-256-1659
Mailing Address - Fax:585-256-1659
Practice Address - Street 1:325 PARK AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-2700
Practice Address - Country:US
Practice Address - Phone:585-256-1659
Practice Address - Fax:585-256-1659
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15382103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical