Provider Demographics
NPI:1689010654
Name:MITCHELL HERNANDEZ, LINDSAY E (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:E
Last Name:MITCHELL HERNANDEZ
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:65 MEMORIAL ROAD, SUITE 435
Mailing Address - Street 2:HARTFORD HOSPITAL PAIN TREATMENT CENTER
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2434
Mailing Address - Country:US
Mailing Address - Phone:860-696-2840
Mailing Address - Fax:
Practice Address - Street 1:65 MEMORIAL ROAD, SUITE 435
Practice Address - Street 2:HARTFORD HOSPITAL PSYCH DEPT-PAIN TREATMENT CENTER
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2434
Practice Address - Country:US
Practice Address - Phone:860-696-2840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-17
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT003988103TC0700X
CT3988103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical