Bauer, Lyndsey

Bauer, Lyndsey is an individual health care provider with primary practice located at 1656 Champlin Ave , Utica NY 13502-4830. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Bauer, Lyndsey can be contacted via phone (315) 624-4101.

Contact Information

Primary practice address
1656 Champlin Ave Utica NY 13502-4830
Fax: (315) 624-4105
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 68018042 New York

Profile Details

NPI number 1790910545
LBN Legal business name Bauer, Lyndsey
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2009
Last updated Feb 4th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790910545 NPPES
New York MEDICAID 03318421

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