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CORRINA S. LINDBLOM MA, EDS, LEP
School >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1316149669
Individual Registrant: CORRINA S. LINDBLOM MA, EDS, LEP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
150 BIG TREES RD SUITE A MURPHYS, CA 95247-9101 US
Tel: 209-728-2184 Fax: --
Tel: 209-728-2184 Fax: --
Contact information for business:
20545 EUREKA DR SONORA, CA 95370-7812 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1316149669
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TS0200X | Behavioral Health & Social Service Providers Psychologist School | CA | LEP 2910 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
