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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERRY ERNEST LINDQUIST, PH.D., OTR/L

Active Sole Proprietor

DR. JERRY ERNEST LINDQUIST, PH.D., OTR/L is a Psychologist healthcare provider located in BUENA PARK, California. NPI 1902116676 is currently active in the NPPES registry. Verify at CMS.

Psychologist · BUENA PARK, CA

Registration Details

NPI Number
1902116676
Provider Type
Individual
Gender
Male
NPI Issued
Oct 15, 2010 (15.790692585177 yrs)
Last Updated
Oct 15, 2010
Licenses
PSY 11789 (CA)
OT 5173 (CA)
Sole Proprietor
Yes

Practice Information

Address
8699 HOLDER ST
BUENA PARK, CA, 906203614
Browse CA providers · Browse ZIP 90620
Phone
7145636556
Fax
7148215683
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Occupational Therapist

Other Psychologist Providers in BUENA PARK, CA

Name Credential NPI
DR. LYDIA SUNKYUNG CHUN PSY.D 1417259524
BRANDON BISHOP PPS 1255145603
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.