MEDICARE: DR. LINDSAY ALLEN WHITMAN 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
1	103G00000X	Clinical Neuropsychologist	0189551	NY

General Provider Information

NPI Number	:	1699064493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDSAY ALLEN WHITMAN PH.D.

Provider Business Mailing Address
First Line	:	119 SMITH ST
Second Line	:	APT. 3
City	:	BROOKLYN
State	:	NY
Zip	:	11201-6218
Country	:	US
Telephone Number	:	434-249-0876
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 SMITH ST
Second Line	:	APT. 3
City	:	BROOKLYN
State	:	NY
Zip	:	11201-6218
Country	:	US
Telephone Number	:	434-249-0876
Fax Number	:

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

Provider Enumeration Date	:	04/01/2011
Last Update Date	:	04/01/2011

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