Provider Demographics
NPI:1962717728
Name:TEIGLAND, LINDSEY HAMMOND (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:HAMMOND
Last Name:TEIGLAND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LINDSEY
Other - Middle Name:ANNE
Other - Last Name:HAMMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:4174 SUMMERBROOKE PL
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55123-2361
Mailing Address - Country:US
Mailing Address - Phone:952-484-0268
Mailing Address - Fax:
Practice Address - Street 1:2302 WYCLIFF STREET
Practice Address - Street 2:SUITE 319
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114
Practice Address - Country:US
Practice Address - Phone:952-484-0268
Practice Address - Fax:952-942-5627
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5079103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist