Provider Demographics
NPI:1932746294
Name:PULVER, LINDSAY (PSYD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:PULVER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 SHERBOURNE LN
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-4964
Mailing Address - Country:US
Mailing Address - Phone:412-216-7679
Mailing Address - Fax:
Practice Address - Street 1:3501 SHERBOURNE LN
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-4964
Practice Address - Country:US
Practice Address - Phone:412-216-7679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5541103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist