Lindsey Bardwell
Individual provider Active NPI Clinical Child & Adolescent Psychologist · Moore, OK
NPI 1144600594 · NPPES record last updated Jun 1, 2015
Key facts
- NPI
- 1144600594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- Practice address
- 1044 SW 4TH St
Moore, OK 73160-2405 - Phone
- (405) 735-6333
- NPI assigned
- Jun 1, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Yes |
Addresses
Primary practice location
1044 SW 4TH St
Moore, OK 73160-2405
Mailing address
1044 SW 4TH St
Moore, OK 73160-2405
Other providers in Moore, OK
- Halley Bailey
- Balance Women'S Health, LLC
- Sharlet Ann Ball
- Jennifer Bantle
- Catherine Eugenia Bardeaux
- Destany M Barger
- Camrynn Haylee Barker
- Jeffery David Barlow
- Allison Barnes
- Savanna Barnes
All providers in Moore, OK · Clinical Child & Adolescent Psychologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.