Provider Demographics
NPI:1770756207
Name:SYSTER, LINDSAY M (BA)
Entity type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:M
Last Name:SYSTER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1070 OLD NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15333-2114
Mailing Address - Country:US
Mailing Address - Phone:724-632-6801
Mailing Address - Fax:724-632-6312
Practice Address - Street 1:501 MCKEAN AVE
Practice Address - Street 2:
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-1558
Practice Address - Country:US
Practice Address - Phone:724-483-3081
Practice Address - Fax:724-483-5856
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA328834A932537OtherVALUE BEHAVIORAL HEALTH
PA1007288440097Medicaid