Healthcare Provider Details

I. General information

NPI: 1740933514
Provider Name (Legal Business Name): LINDSAY PAIGE HUFFHINES PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 02/01/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOPPIN ST. CORO WEST BUILDING, SUITE 204
PROVIDENCE RI
02903
US

IV. Provider business mailing address

100 ELENA ST APT 715
CRANSTON RI
02920-4389
US

V. Phone/Fax

Practice location:
  • Phone: 401-793-8713
  • Fax:
Mailing address:
  • Phone: 806-392-5259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPS01979
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: