MEDICARE: LINDSEY ANNE MORELLE PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC2200X	Clinical Child & Adolescent Psychologist

General Provider Information

NPI Number	:	1265805774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY ANNE MORELLE PSY.D.

Provider Business Mailing Address
First Line	:	6339 MILL ST
Second Line	:
City	:	RHINEBECK
State	:	NY
Zip	:	12572-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6339 MILL ST
Second Line	:
City	:	RHINEBECK
State	:	NY
Zip	:	12572-5005
Country	:	US
Telephone Number	:	845-871-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2015
Last Update Date	:	11/05/2015

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