Provider Demographics
NPI:1104347624
Name:MCCLANATHAN, LINDSAY LEIGH (MS LPCMH)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:LEIGH
Last Name:MCCLANATHAN
Suffix:
Gender:F
Credentials:MS LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9064 N OLD STATE RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:DE
Mailing Address - Zip Code:19960-3638
Mailing Address - Country:US
Mailing Address - Phone:302-228-3683
Mailing Address - Fax:302-947-4645
Practice Address - Street 1:315 OLD LANDING RD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-1210
Practice Address - Country:US
Practice Address - Phone:302-947-1920
Practice Address - Fax:302-947-4645
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEAC-0000126101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health