Individual
PATRICIA SUSAN LINDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
614 PORTLAND AVE, SUITE 117, SAINT PAUL, MN 55102-2223
(651) 291-2720
Mailing address
23055 HAYWARD AVE N, FOREST LAKE, MN 55025-8542
(651) 464-2423
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2694
MN
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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