Lindstrom, Barry R

Lindstrom, Barry R is an sole proprietor health care provider with primary practice located at 3211 W 20Th St Suite D, Greeley CO 80634-6565. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lindstrom, Barry R can be contacted via phone (970) 356-3100.

Contact Information

Primary practice address
3211 W 20Th St Suite D Greeley CO 80634-6565
Phone: (970) 356-3100
Fax: (970) 356-4827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1303 Colorado
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1303 Colorado
Behavioral Health & Social Service Providers / School 103TS0200X 0308917 Colorado

Profile Details

NPI number 1508975467
LBN Legal business name Lindstrom, Barry R
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508975467 NPPES
Colorado Other 060747 VALUE OPTIONS
Colorado MEDICAID 07013030 VALUE OPTIONS
Colorado Other 643344 VALUE OPTIONS

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