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General NPI Number Information
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NPI Number | 1023300324
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Entity Type | Individual
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Provider Name | CATHERINE LINDSTROM PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 1668 W GLENDALE AVE STE. 128
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City | PHOENIX
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State | AZ
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Zip | 85021-8971
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Country | US
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Telephone | 602-544-8541
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Fax |
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Provider Business Mailing Address
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Address Line | 3080 N 147TH DR
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City | GOODYEAR
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State | AZ
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Zip | 85395-8947
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Country | US
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Telephone | 602-309-0403
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Fax | 602-995-5740
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1748
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License Number State | AZ
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