Provider Demographics
NPI:1720358450
Name:LINDON, DANA SNYDER (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:SNYDER
Last Name:LINDON
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 1:23603 PARK SORRENTO
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1321
Mailing Address - Country:US
Mailing Address - Phone:310-820-2234
Mailing Address - Fax:
Practice Address - Street 1:23603 PARK SORRENTO
Practice Address - Street 2:SUITE 100
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1321
Practice Address - Country:US
Practice Address - Phone:310-820-2234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-11
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA21409103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical