Individual
DR. GINGER B LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17840 CUMBERLAND RD, NOBLESVILLE, IN 46060-5409
(317) 574-1254
(317) 674-0060
Mailing address
9615 E 148TH ST, SUITE 1, NOBLESVILLE, IN 46060-4371
(317) 574-1254
(317) 674-0060
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
20042450A
IN
103TB0200X
Cognitive & Behavioral Psychologist
20042450A
IN
103TC0700X
Clinical Psychologist
20042450A
IN
103TC1900X
Counseling Psychologist
Primary
20042450A
IN
103TC2200X
Clinical Child & Adolescent Psychologist
20042450A
IN
103TF0000X
Family Psychologist
20042450A
IN
103TH0004X
Health Psychologist
20042450A
IN
103TH0100X
Health Service Psychologist
20042450A
IN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
20042450A
IN
103TP2701X
Group Psychotherapy Psychologist
20042450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201000510
—
IN
Enumeration date
09/21/2010
Last updated
09/28/2017
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