Provider Demographics
NPI:1396824827
Name:LINDNER, NADINE K (PHD)
Entity Type:Individual
Prefix:DR
First Name:NADINE
Middle Name:K
Last Name:LINDNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3421
Mailing Address - Country:US
Mailing Address - Phone:518-482-7666
Mailing Address - Fax:518-482-3774
Practice Address - Street 1:1440 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3421
Practice Address - Country:US
Practice Address - Phone:518-482-7666
Practice Address - Fax:518-482-3774
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009366-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY52318BMedicare ID - Type Unspecified