Provider Demographics
NPI:1396822201
Name:LINDNER, LAURIE J (PHD)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:J
Last Name:LINDNER
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 1:33 OVERLOOK RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3570
Mailing Address - Country:US
Mailing Address - Phone:908-277-0993
Mailing Address - Fax:908-277-1869
Practice Address - Street 1:33 OVERLOOK RD
Practice Address - Street 2:SUITE 210
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3570
Practice Address - Country:US
Practice Address - Phone:908-277-0993
Practice Address - Fax:908-277-1869
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC043905001041C0700X
NY000680102L00000X
CA219771041C0700X
NYR05311181041C0700X
NJ0035900101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223536102Medicare UPIN