Individual
DR. BRENT LINDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
7507 NE 51ST ST, VANCOUVER, WA 98662-6007
(360) 906-1190
(360) 906-1193
Mailing address
15311 NE 13TH CIR, VANCOUVER, WA 98684-3644
(360) 254-5793
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60232138
WA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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