Provider Demographics
NPI:1558345884
Name:LINDNER, KAREN C (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:C
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 1:1497 SE BETHEL VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-5606
Mailing Address - Country:US
Mailing Address - Phone:360-443-6121
Mailing Address - Fax:360-519-3105
Practice Address - Street 1:104 TREMONT ST STE 130140
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-3775
Practice Address - Country:US
Practice Address - Phone:360-519-3480
Practice Address - Fax:360-443-2058
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00000897103T00000X
WAWAPY00000897103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7006794Medicaid
MO227157000OtherMAGELLAN HEALTH SERVICES
WA5858LIOtherASURIS NORTHWEST HEALTH
WA5858LIOtherASURIS NORTHWEST HEALTH
WA7006794Medicaid
WAG8908914Medicare PIN