MEDICARE: DUSTIN J LINDEMAN CT

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
1	101YM0800X	Mental Health Counselor	C2405685-TRNE	OH

General Provider Information

NPI Number	:	1336978725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUSTIN J LINDEMAN CT

Provider Business Mailing Address
First Line	:	8261 MARKET ST STE A
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44512-6254
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8261 MARKET ST STE A
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44512-6254
Country	:	US
Telephone Number	:	330-286-0050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2024
Last Update Date	:	08/01/2024

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