Provider Demographics
NPI:1891915526
Name:LINDENFELD, GEORGE L (PHD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:L
Last Name:LINDENFELD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:
Other - Last Name:LINDENFELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:47 MOUNT VERNON CIR
Mailing Address - Street 2:SUITE 211
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2418
Mailing Address - Country:US
Mailing Address - Phone:828-335-1300
Mailing Address - Fax:828-505-2533
Practice Address - Street 1:247 CHARLOTTE ST
Practice Address - Street 2:SUITE 211
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1466
Practice Address - Country:US
Practice Address - Phone:828-335-1300
Practice Address - Fax:828-505-2533
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3695103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6001198Medicaid
NC6001198Medicaid
75070Medicare UPIN