Provider Demographics
NPI:1467469726
Name:LINDEM, KAREN JEAN CONTI (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JEAN CONTI
Last Name:LINDEM
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 1:15 HIGH HAITH RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-7811
Mailing Address - Country:US
Mailing Address - Phone:781-354-9081
Mailing Address - Fax:
Practice Address - Street 1:15 HIGH HAITH RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-7811
Practice Address - Country:US
Practice Address - Phone:781-354-9081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7991103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0501841Medicaid
MA0501841Medicaid