Individual
JOHN PHILIP LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
Mailing address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810001874
VA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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