Patricia A Lindsay Phd Inc | |
1743 W Redstone Ctr Dr #115 Park City UT 84098 | |
(435) 658-9297 | |
Not Available |
Full Name | Patricia A Lindsay Phd Inc |
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Speciality | Psychologist |
Location | 1743 W Redstone Ctr Dr, Park City, Utah |
Authorized Official Name and Position | Patricia A Lindsay (OWNER) |
Authorized Official Contact | 4356589297 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Patricia A Lindsay Phd Inc Po Box 683966 Park City UT 84068-3966 Ph: (435) 658-9297 | Patricia A Lindsay Phd Inc 1743 W Redstone Ctr Dr #115 Park City UT 84098 Ph: (435) 658-9297 |
NPI Number | 1962659458 |
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Provider Enumeration Date | 08/26/2008 |
Last Update Date | 11/12/2008 |
Medicare PECOS PAC ID | 3274509989 |
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Medicare Enrollment ID | O20090217000019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962659458 | NPI | - | NPPES |
74005 | Other | UT | MEDICARE ID TYPE, UNSPECIFIED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1161882501 (Utah) | Primary |
Provider Name | Patricia A Lindsay |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1346332244 PECOS PAC ID: 0345216057 Enrollment ID: I20040907001230 |
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