MEDICARE: LINDSAY NICOLE MCCUE MS

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	106H00000X	Marriage & Family Therapist	MG61185994	WA

General Provider Information

NPI Number	:	1558995209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY NICOLE MCCUE MS

Provider Business Mailing Address
First Line	:	4001 NE 50TH ST APT J
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98105-2962
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 TERRY AVE UNIT 629
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2452
Country	:	US
Telephone Number	:	682-365-9423
Fax Number	:

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

Provider Enumeration Date	:	03/02/2020
Last Update Date	:	08/18/2021

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