Doctor Name: | MS. JUDY L. LINDSTROM |
NPI Number: | 1003029729 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | 3407 |
Business Practice Address: | 1140 N Hudson Ave Oklahoma City, OK - 731033918 |
Business Phone Number: | 4052720660 |
Business Fax Number: | |
Mailing Address: | 4436 Nw 50th St, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731122212 |
Phone Number: | 4058582700 |
Fax Number: | 4058582784 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 08/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3407 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |