Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 6138 | OH |
N | 103T00000X | Psychologist | 6138 | OH |
N | 103TC1900X | Counseling Psychologist | 6138 | OH |
NPI | 1093843203 |
---|---|
Provider Name | Dr. Kathleen A. Lindstrom |
First Address | Youngstown, OH 44511-3301 |
Second Address | Boardman, OH 44512-4703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000388708 | ANTHEM BLUE CROSS BLUE SH (01) | OH |
2080945 | CIGNA BEHAVIORAL HEALTH (01) | OH |
2635018 | (05) | OH |
372817 | TRICARE - MHN (01) | OH |
560396 | VALUE OPTIONS (01) | OH |