Provider Demographics
NPI:1750547089
Name:LINDEMAN, DAWN HUSER (PHD, NCC, HSPP)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:HUSER
Last Name:LINDEMAN
Suffix:
Gender:F
Credentials:PHD, NCC, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 E HAGAN ST STE F
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-8516
Mailing Address - Country:US
Mailing Address - Phone:812-650-1234
Mailing Address - Fax:812-650-1235
Practice Address - Street 1:3901 E HAGAN ST STE F
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-8516
Practice Address - Country:US
Practice Address - Phone:812-650-1234
Practice Address - Fax:812-650-1235
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN203199101Y00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1992100077Medicaid