Lisa Lindsay

Individual provider Active NPI Intellectual & Developmental Disabilities Psychologist · Milton, DE

NPI 1679177448 · NPPES record last updated Nov 23, 2020

Key facts

NPI
1679177448
Entity type
Individual (NPI type 1)
Primary specialty
Intellectual & Developmental Disabilities Psychologist 103TM1800X
Practice address
1303 Palmer Street Ext
Milton, DE 19968-1045
Phone
(302) 573-1247
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X Yes

Addresses

Primary practice location

1303 Palmer Street Ext
Milton, DE 19968-1045

Mailing address

1303 Palmer Street Ext
Milton, DE 19968-1045
Phone (302) 573-1247

Other identifiers

IdentifierTypeStateIssuer
000000667MedicaidDE

Other providers in Milton, DE

All providers in Milton, DE · Intellectual & Developmental Disabilities Psychologist in Delaware

Sources for this page

Verify at the official NPI Registry.