Individual
LINDSEY GILLER CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
340 DOGWOOD AVE STE 101, FRANKLIN SQUARE, NY 11010-3400
(516) 218-0180
Mailing address
340 DOGWOOD AVE STE 101, FRANKLIN SQUARE, NY 11010-3400
(516) 218-0180
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
022212
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355940
—
NY
01
—
1285628552
AGENCIES NPI
NY
Enumeration date
09/10/2015
Last updated
11/08/2023
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