Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist | ||
N | 103TH0004X | Health Psychologist |
NPI | 1245510163 |
---|---|
Provider Name | Dr. Lindsey Anderson |
First Address | Wood River Junction, RI 02894-1126 |
Second Address | Wood River Junction, RI 02894-1126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2011 |
Last Update Date | 23/08/2011 |