Basic Information
| Provider Information | |||||||||
| NPI: | 1427022664 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PURVIS | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | TURNER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSYD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7108 DOLPHIN BAY BLVD | ||||||||
| Address2: | |||||||||
| City: | PANAMA CITY BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 324075442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8502492331 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 340 MAGNOLIA CIR | ||||||||
| Address2: | |||||||||
| City: | TYNDALL A F B | ||||||||
| State: | FL | ||||||||
| PostalCode: | 324035604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8502837511 | ||||||||
| FaxNumber: | 8502837721 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | PY7100 | FL | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.