Individual
MR. CHAD LINDSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
831 HWY 35, COWLEY, WY 82420-0660
(307) 899-0174
Mailing address
PO BOX 660, 831 HWY 35, COWLEY, WY 82420-0660
(307) 899-0174
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAP - 158
WYOMING MENTAL HEALTH PROFESSIONALS LICENSING BOARD
WY
Enumeration date
06/28/2011
Last updated
11/01/2016
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