Doctor Name: | MS. CELESTE ICIEK LINDER |
NPI Number: | 1295979276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LLP |
License Number: | 6301011923 |
Business Practice Address: | 117 S Main St Wayland, MI - 493481283 |
Business Phone Number: | 2697921431 |
Business Fax Number: | |
Mailing Address: | 401 Voyager Dr, WAYLAND |
State: | MI |
Postal Code: | 493489152 |
Phone Number: | 2697926191 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2009 |
NPI Last Update Date: | 04/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 6301011923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |