MEDICARE: VICKIE SUE LINDSEY MS, CSC

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1689822165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKIE SUE LINDSEY MS, CSC

Provider Business Mailing Address
First Line	:	5105 E PARKER RD
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75002-6209
Country	:	US
Telephone Number	:	214-726-5691
Fax Number	:

Provider Business Practice Location Address
First Line	:	1612 J AVE
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-6117
Country	:	US
Telephone Number	:	214-726-5691
Fax Number	:

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

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	09/08/2008

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