Doctor Name: | LINDSAY RENEE BERTRAND |
NPI Number: | 1073803466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | |
Business Practice Address: | 1203 American Greeting Card Rd Corbin, KY - 407014811 |
Business Phone Number: | 6065287010 |
Business Fax Number: | |
Mailing Address: | Po Box 568, CORBIN |
State: | KY |
Postal Code: | 407020568 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/19/2011 |
NPI Last Update Date: | 04/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |