Provider Demographics
NPI:1518119221
Name:BREFELD, LINDSAY A (BR)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:A
Last Name:BREFELD
Suffix:
Gender:F
Credentials:BR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5389 ARSENAL ST.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-1401
Mailing Address - Country:US
Mailing Address - Phone:314-772-6933
Mailing Address - Fax:314-772-5858
Practice Address - Street 1:5389 ARSENAL ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-1401
Practice Address - Country:US
Practice Address - Phone:314-772-6933
Practice Address - Fax:314-772-5858
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst