Healthcare Provider Details

I. General information

NPI: 1336985381
Provider Name (Legal Business Name): LINDSAY JANE SUTCLIFF PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 PEACHTREE RD NW
ATLANTA GA
30309-1465
US

IV. Provider business mailing address

2020 PEACHTREE RD NW
ATLANTA GA
30309-1465
US

V. Phone/Fax

Practice location:
  • Phone: 404-603-4267
  • Fax:
Mailing address:
  • Phone: 404-603-4267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY004892
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: