| Doctor Name: | ANTONIO D LINDSEY |
| NPI Number: | 1073922886 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 103TE1100X |
| Business Practice Address: | 919 Pleasant Hill Ln Bowie, MD - 207161779 |
| Business Phone Number: | 3017449211 |
| Business Fax Number: | |
| Mailing Address: | 919 Pleasant Hill Ln, BOWIE |
| State: | MD |
| Postal Code: | 207161779 |
| Phone Number: | 3017449211 |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2014 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TE1100X |
| License Number: | 103TE1100X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Exercise & Sports |
| Taxonomy Definition: | |