Provider Demographics
NPI:1215304787
Name:PYATT, LINDSAY (MA)
Entity type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:
Last Name:PYATT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3760 UPLAND RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7927
Mailing Address - Country:US
Mailing Address - Phone:757-202-0935
Mailing Address - Fax:
Practice Address - Street 1:770 LYNNHAVEN PKWY
Practice Address - Street 2:SUITE 240
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7324
Practice Address - Country:US
Practice Address - Phone:757-802-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health