Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PY8666 | FL |
N | 103TC0700X | Clinical Psychologist | PY8666 | FL |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PY8666 | FL |
NPI | 1063774644 |
---|---|
Provider Name | Dr. Lindsay Anne Shaw Cadmus |
First Address | Orlando, FL 32806-1049 |
Second Address | Orlando, FL 32806-1049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2012 |
Last Update Date | 20/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
N/A | (05) | FL |