Doctor Name: | MS. LINDY SYLVAN POTTINGER |
NPI Number: | 1568636892 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 31374 |
Business Practice Address: | 5232 Village Creek Dr Suite 200 Plano, TX - 750934437 |
Business Phone Number: | 9724905757 |
Business Fax Number: | 9722503644 |
Mailing Address: | 5232 Village Creek Dr, Suite 200 PLANO |
State: | TX |
Postal Code: | 750934437 |
Phone Number: | 9724905757 |
Fax Number: | 9722503364 |
NPI Enumeration Date: | 04/17/2008 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 31374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |