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NPI Code Detail

MEDICARE: AUDREY HILL-LINDSAY PH.D.

MEDICARE: AUDREY HILL-LINDSAY PH.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
1103TC0700XClinical Psychologist020483NY
2103TC0700XClinical PsychologistPSY22270CA

General Provider Information

NPI Number : 1619132503
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY HILL-LINDSAY PH.D.
Provider Business Mailing Address
First Line : PO BOX 7571
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92607-7571
Country : US
Telephone Number : 310-909-7369
Fax Number : 424-603-2369
Provider Business Practice Location Address
First Line : 1230 ROSECRANS AVE
Second Line : STE 300
City : MANHATTAN BEACH
State : CA
Zip : 90266-2494
Country : US
Telephone Number : 310-909-7369
Fax Number : 424-603-2369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2008
Last Update Date : 03/17/2018

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