Provider Demographics
NPI:1467600874
Name:LIND PSYCHOLOGICAL SERVICES INC
Entity type:Organization
Organization Name:LIND PSYCHOLOGICAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-738-4916
Mailing Address - Street 1:57 SKYLINE CRST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4111
Mailing Address - Country:US
Mailing Address - Phone:360-738-4916
Mailing Address - Fax:360-312-3205
Practice Address - Street 1:270 WOLF CREEK RD # 301
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:WA
Practice Address - Zip Code:98862-9768
Practice Address - Country:US
Practice Address - Phone:360-738-4916
Practice Address - Fax:360-312-3205
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIND PSYCHOLOGICAL SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-28
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002522103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB24109Medicare UPIN