Provider Demographics
NPI:1447842513
Name:REYNOLDS, LINDSAY (LCAT, ATR-BC)
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:
Last Name:REYNOLDS
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 GARDEN CITY ST
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-2053
Mailing Address - Country:US
Mailing Address - Phone:631-833-8257
Mailing Address - Fax:
Practice Address - Street 1:44 GARDEN CITY ST
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-2053
Practice Address - Country:US
Practice Address - Phone:631-833-8257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP107692221700000X
NY002825-01221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist