| Doctor Name: | DR. JOHN AUGUST LUNDIN |
| NPI Number: | 1164576567 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PSY19824 |
| Business Practice Address: | 459 Boulevard Way Piedmont, CA - 946101526 |
| Business Phone Number: | 4153050061 |
| Business Fax Number: | |
| Mailing Address: | 934 Carolina St Apt 1, SAN FRANCISCO |
| State: | CA |
| Postal Code: | 941073337 |
| Phone Number: | 4153050061 |
| Fax Number: | 4152824281 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY19824 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |