=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568670529
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN LINDENBAUM M.ED.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2007
-----------------------------------------------------
Last Update Date | 01/09/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 419 CEDAR ST
-----------------------------------------------------
City | JENKINTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19046-2720
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-887-2997
-----------------------------------------------------
Fax | 215-887-2997
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 170
-----------------------------------------------------
City | JENKINTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19046-0170
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-887-2997
-----------------------------------------------------
Fax | 215-887-2997
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | PS006796L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------