Provider Information for 1003335092
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LINDSAY BENNETT LCSW
Other Names:Former Name:LINDSAY PRATTSex: Female
NPI: 1003335092
Last Updated: 2019-10-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003335092 | ||||||||||||
| Enumeration Date | 2017-09-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 7413 FAIRWAY CIRCLE EAST DR INDIANAPOLIS, IN 46236-9791 United States Phone: 317-670-2605 | Fax: | ||||||||||||
| Primary Practice Address | 7413 FAIRWAY CIRCLE EAST DR INDIANAPOLIS, IN 46236-9791 United States Phone: 317-670-2605 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 5638 PROFESSIONAL CIR | ||||||||||||
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