Healthcare Provider Details

I. General information

NPI: 1114131927
Provider Name (Legal Business Name): LORIN LINDNER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 04/01/2022
Certification Date: 04/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15660 CURTIS TRL
FRAZIER PARK CA
93225
US

IV. Provider business mailing address

15660 CURTIS TRL
FRAZIER PARK CA
93225-9337
US

V. Phone/Fax

Practice location:
  • Phone: 661-245-3111
  • Fax: 661-461-3115
Mailing address:
  • Phone: 661-245-3111
  • Fax: 661-461-3115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY10659
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: