Healthcare Provider Details

I. General information

NPI: 1629469218
Provider Name (Legal Business Name): LINDSAY WERNER PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2015
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 MCKINLEY AVE NW
CANTON OH
44702-1717
US

IV. Provider business mailing address

4900 NOBLES POND DR NW
CANTON OH
44718-3808
US

V. Phone/Fax

Practice location:
  • Phone: 330-438-2500
  • Fax:
Mailing address:
  • Phone: 614-602-7651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberOH1352028
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: