Healthcare Provider Details

I. General information

NPI: 1023564887
Provider Name (Legal Business Name): LINDSAY ALLYN YATES PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSAY ALLYN YATES PLUMER

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 SHERMAN ST STE 390
SAINT PAUL MN
55102-3865
US

IV. Provider business mailing address

1520 RANDOLPH AVE
SAINT PAUL MN
55105-2535
US

V. Phone/Fax

Practice location:
  • Phone: 651-383-4800
  • Fax:
Mailing address:
  • Phone: 203-207-1940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP3608
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: