Individual
LINDSAY KAYE TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
27 SW FRAZER AVE, PENDLETON, OR 97801-2147
(541) 278-2222
(541) 276-8405
Mailing address
27 SW FRAZER AVE, PENDLETON, OR 97801-2147
(541) 278-2222
(541) 276-8405
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3109
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500769085
—
OR
Enumeration date
05/06/2011
Last updated
03/24/2026
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