MEDICARE: DR. LYNDSAY ELLIOTT PSYD

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	103T00000X	Psychologist	PSY21342	CA
2	103TH0004X	Health Psychologist	PSY21342	CA
3	103TC0700X	Clinical Psychologist	PSY21342	CA
4	103T00000X	Psychologist	3891	TN
5	103TF0200X	Forensic Psychologist	PSY21342	CA

General Provider Information

NPI Number	:	1962682971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNDSAY ELLIOTT PSYD

Provider Business Mailing Address
First Line	:	1201 LIBERTY PIKE # 229-300
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-5604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 LIBERTY PIKE # 229-300
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-5604
Country	:	US
Telephone Number	:	615-753-7888
Fax Number	:

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

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	02/18/2026

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