MEDICARE: LINDSAY RATKOVICH LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	160488	CA

General Provider Information

NPI Number	:	1902686363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY RATKOVICH LMFT

Provider Business Mailing Address
First Line	:	2017 SPRUCE ST APT 1F
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-3876
Country	:	US
Telephone Number	:	323-383-6285
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 SPRUCE ST APT 1F
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-3876
Country	:	US
Telephone Number	:	323-383-6285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2023
Last Update Date	:	01/16/2026

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