Provider Demographics
NPI:1568794840
Name:LINDELL, ALAN D (MASTERS OF DIVIDITY)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:D
Last Name:LINDELL
Suffix:
Gender:M
Credentials:MASTERS OF DIVIDITY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 NOBLE ST.
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201
Mailing Address - Country:US
Mailing Address - Phone:256-236-2485
Mailing Address - Fax:256-236-5426
Practice Address - Street 1:1400 NOBLE ST.
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201
Practice Address - Country:US
Practice Address - Phone:256-236-2485
Practice Address - Fax:256-236-5426
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist