Doctor Name: | LINDSEY MCKINNEY |
NPI Number: | 1871990507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S. |
License Number: | OH3053603 |
Business Practice Address: | 1797 King Ave Kings Mills, OH - 450341721 |
Business Phone Number: | 5133988050 |
Business Fax Number: | |
Mailing Address: | 5615 Beechtree Ln, MAINEVILLE |
State: | OH |
Postal Code: | 450397345 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/24/2014 |
NPI Last Update Date: | 11/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | OH3053603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |