Provider Demographics
NPI:1225861263
Name:EGGERS, LINDSEY LEANNE
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:LEANNE
Last Name:EGGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6182 W NORTHDALE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93723-8201
Mailing Address - Country:US
Mailing Address - Phone:559-696-7751
Mailing Address - Fax:
Practice Address - Street 1:6182 W NORTHDALE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93723-8201
Practice Address - Country:US
Practice Address - Phone:559-696-7751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130833106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist