Doctor Name: | DR. LINDSAY MARIE CUNNINGHAM |
NPI Number: | 1053632828 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D., M.A. |
License Number: | PSY23487 |
Business Practice Address: | 24511 W Jayne Ave Coalinga, CA - 932109503 |
Business Phone Number: | 5599348151 |
Business Fax Number: | |
Mailing Address: | 612 Brentwood Dr, LEMOORE |
State: | CA |
Postal Code: | 932454439 |
Phone Number: | 5598014408 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2010 |
NPI Last Update Date: | 06/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY23487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |