Healthcare Provider Details

I. General information

NPI: 1982049631
Provider Name (Legal Business Name): LINDSAY CIRINCIONE PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY CUMMINGS PSY.D.

II. Dates (important events)

Enumeration Date: 05/08/2013
Last Update Date: 09/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N BROADWAY ROOM 213
BALTIMORE MD
21205
US

IV. Provider business mailing address

2931 E. BIDDLE ST PATIENT ACCOUNTING
BALTIMORE MD
21213
US

V. Phone/Fax

Practice location:
  • Phone: 443-923-1872
  • Fax:
Mailing address:
  • Phone: 443-923-1872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number05538
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number05538
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number05538
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number05538
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: