Provider Demographics
NPI:1740507458
Name:LINDAHL, PATRICIA SI-LING (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:SI-LING
Last Name:LINDAHL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3120 TELEGRAPH AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1964
Mailing Address - Country:US
Mailing Address - Phone:510-761-7649
Mailing Address - Fax:510-343-9436
Practice Address - Street 1:3120 TELEGRAPH AVE STE 2
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705
Practice Address - Country:US
Practice Address - Phone:510-761-7649
Practice Address - Fax:510-343-9436
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1224942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry