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NPI Code Detail

MEDICARE: BEVERLY J LINDELL LMFT

MEDICARE: BEVERLY J LINDELL LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist597-124WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669573754
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY J LINDELL LMFT
Provider Business Mailing Address
First Line : 101 THOMPSON RD
Second Line :
City : WASHBURN
State : WI
Zip : 54891-4525
Country : US
Telephone Number : 715-373-2233
Fax Number : 715-373-5530
Provider Business Practice Location Address
First Line : 101 THOMPSON RD
Second Line :
City : WASHBURN
State : WI
Zip : 54891-4525
Country : US
Telephone Number : 715-373-2233
Fax Number : 715-373-5530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 07/08/2007

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Directions to “ BEVERLY J LINDELL LMFT” Practice Location

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