Doctor Name: | DR. DENISE LINDSAY-BLUE |
NPI Number: | 1043590359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | MH4178 |
Business Practice Address: | 970 Lake Carillon Dr 300 Saint Petersburg, FL - 337161129 |
Business Phone Number: | 7275578410 |
Business Fax Number: | 7275222609 |
Mailing Address: | 970 Lake Carillon Dr, 300 SAINT PETERSBURG |
State: | FL |
Postal Code: | 337161129 |
Phone Number: | 7275578410 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2011 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH4178 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |