Provider Demographics
NPI:1053359471
Name:LINDSAY, S. HOPE (LCSW)
Entity type:Individual
Prefix:
First Name:S.
Middle Name:HOPE
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:S.
Other - Middle Name:HOPE
Other - Last Name:VAN WYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-2704
Mailing Address - Country:US
Mailing Address - Phone:541-789-4000
Mailing Address - Fax:
Practice Address - Street 1:100 E MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-6041
Practice Address - Country:US
Practice Address - Phone:541-789-5526
Practice Address - Fax:541-789-5203
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL2268101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor