Individual
LINDSAY JOHANNES-MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
195 W ILLINOIS AVE, SOUTHERN PINES, NC 28387-5808
(910) 692-2444
(910) 692-3651
Mailing address
195 W. ILLINOIS AVE, SOUTHERN PINES, NC 28387
(910) 692-2444
(910) 692-3651
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4312
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17520
BCBS
—
05
—
6001374
—
NC
01
—
Q40357A
MEDICARE
NC
Enumeration date
09/07/2010
Last updated
08/14/2017
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