| Doctor Name: | DR. KATHLEEN A. LINDSTROM |
| NPI Number: | 1093843203 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 6138 |
| Business Practice Address: | 412 Boardman Canfield Rd Boardman, OH - 445124703 |
| Business Phone Number: | 3303987787 |
| Business Fax Number: | |
| Mailing Address: | 3686 Joyce Ann Dr, YOUNGSTOWN |
| State: | OH |
| Postal Code: | 445113301 |
| Phone Number: | 3307937981 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 6138 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |