Provider Demographics
NPI:1912474677
Name:LINDEE, KARI (EDS)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:
Last Name:LINDEE
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:MISS
Other - First Name:KARI
Other - Middle Name:
Other - Last Name:TAUSCHEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDS
Mailing Address - Street 1:W11190 ROSE ELD RD
Mailing Address - Street 2:
Mailing Address - City:ROSENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:54974-9620
Mailing Address - Country:US
Mailing Address - Phone:920-266-6082
Mailing Address - Fax:
Practice Address - Street 1:W11190 ROSE ELD RD
Practice Address - Street 2:
Practice Address - City:ROSENDALE
Practice Address - State:WI
Practice Address - Zip Code:54974-9620
Practice Address - Country:US
Practice Address - Phone:920-266-6082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3590004097103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool