Basic Information
| Provider Information | |||||||||
| NPI: | 1245647809 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEES | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | NICOLE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PSYD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 112 | ||||||||
| Address2: | |||||||||
| City: | OXFORD JUNCTION | ||||||||
| State: | IA | ||||||||
| PostalCode: | 523230112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3862645706 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4455 E 56TH ST | ||||||||
| Address2: | |||||||||
| City: | DAVENPORT | ||||||||
| State: | IA | ||||||||
| PostalCode: | 528072995 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5633552577 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2014 | ||||||||
| LastUpdateDate: | 07/14/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/14/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TF0200X | 2405 | KS | N | Behavioral Health & Social Service Providers | Psychologist | Forensic | 103TF0200X | 095614 | IA | N | Behavioral Health & Social Service Providers | Psychologist | Forensic | 103TF0200X | PSY-0004076 | CO | Y | Behavioral Health & Social Service Providers | Psychologist | Forensic |
No ID Information.