Healthcare Provider Details

I. General information

NPI: 1477582294
Provider Name (Legal Business Name): LINDSAY BENEDICT BRANCATO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 10/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5480 WISCONSIN AVE SUITE 204
CHEVY CHASE MD
20815-3530
US

IV. Provider business mailing address

5480 WISCONSIN AVE STE 204
CHEVY CHASE MD
20815-3524
US

V. Phone/Fax

Practice location:
  • Phone: 202-270-2370
  • Fax:
Mailing address:
  • Phone: 202-270-2370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number04332
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: