Provider Demographics
NPI:1477508539
Name:LINDER, KATHERINE IRENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:IRENE
Last Name:LINDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:IRENE
Other - Last Name:KEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:984185 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-4185
Mailing Address - Country:US
Mailing Address - Phone:402-559-5031
Mailing Address - Fax:
Practice Address - Street 1:984185 NEBRASKA MEDICAL CTR
Practice Address - Street 2:EMILE AT 42ND
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-4185
Practice Address - Country:US
Practice Address - Phone:402-559-5031
Practice Address - Fax:402-559-9592
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE645103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical