Healthcare Provider Details

I. General information

NPI: 1689971541
Provider Name (Legal Business Name): JENNIFER LYNN LINDSEY PSY.D., CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER DAVIS PSY.D, CADC

II. Dates (important events)

Enumeration Date: 02/11/2011
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

579 N 1ST BANK DR STE 150
PALATINE IL
60067-8102
US

IV. Provider business mailing address

1818 E EUCLID AVE
ARLINGTON HEIGHTS IL
60004-5875
US

V. Phone/Fax

Practice location:
  • Phone: 847-533-8939
  • Fax: 847-907-9994
Mailing address:
  • Phone: 847-533-8939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071008531
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number071-008531
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: