Healthcare Provider Details

I. General information

NPI: 1750361275
Provider Name (Legal Business Name): SHAWN SINDLINGER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 W. SEED FARM RD.
SACATON AZ
85247
US

IV. Provider business mailing address

PO BOX 115
SACATON AZ
85247-0115
US

V. Phone/Fax

Practice location:
  • Phone: 602-518-1340
  • Fax: 602-528-1296
Mailing address:
  • Phone: 602-528-1340
  • Fax: 602-528-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number10455
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: