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Individual

VIRGINIA SAMANTHA LINDMEIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
117 N US HIGHWAY 441 STE 205, LADY LAKE, FL 32159-4383
(352) 787-2000
(352) 787-2000
Mailing address
117 N US HIGHWAY 441 STE 205, LADY LAKE, FL 32159-4383
(352) 787-2000

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC1900X
Counseling Psychologist
PY7901
FL
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0200X
Forensic Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
272312739
CIGNA
FL
01
5931C
BLUE CROSS BLUE SHEILD
FL
05
765567300
FL
Enumeration date
04/12/2006
Last updated
07/18/2022
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