| Doctor Name: | MRS. LINDY DORE KOLLMAN |
| NPI Number: | 1013148436 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BA |
| License Number: | RC00043882 |
| Business Practice Address: | 5301 Tieton Drive, Suite C C/o Catholic Family & Child Service Yakima, WA - 989083478 |
| Business Phone Number: | 5099657100 |
| Business Fax Number: | 5099669750 |
| Mailing Address: | 5301 Tieton Drive, Suite C, C/o Catholic Family & Child Service YAKIMA |
| State: | WA |
| Postal Code: | 989083478 |
| Phone Number: | 5099657100 |
| Fax Number: | 5099669750 |
| NPI Enumeration Date: | 08/03/2009 |
| NPI Last Update Date: | 08/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | RC00043882 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |