Healthcare Provider Details

I. General information

NPI: 1003114356
Provider Name (Legal Business Name): LINDLEY THOMAS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2011
Last Update Date: 03/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 DAWSON DR
NEWARK DE
19713-3413
US

IV. Provider business mailing address

3318 SILVERSIDE RD
WILMINGTON DE
19810-3307
US

V. Phone/Fax

Practice location:
  • Phone: 302-239-4025
  • Fax: 410-569-9497
Mailing address:
  • Phone: 302-239-4025
  • Fax: 410-569-0094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0000538
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: