Healthcare Provider Details

I. General information

NPI: 1669738134
Provider Name (Legal Business Name): LINDSEY LEE ROSS-BAILEY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY LEE ROSS PHD

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 06/20/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13800 VETERANS WAY
ORLANDO FL
32827
US

IV. Provider business mailing address

13800 VETERANS WAY
ORLANDO FL
32827-7401
US

V. Phone/Fax

Practice location:
  • Phone: 407-631-1000
  • Fax:
Mailing address:
  • Phone: 407-631-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number021993
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number021993
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: