Individual
LYDIA LINEBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 AXTELL DR STE 101, TROY, MI 48084-4400
(248) 613-5377
Mailing address
1777 AXTELL DR STE 101, TROY, MI 48084-4400
(248) 613-5377
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017010
MI
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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