Corrina S. Lindblom, MA, EDS, LEP
Individual provider Active NPI School Psychologist · Murphys, CA
NPI 1316149669 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1316149669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- LEP 2910 (CA)
- Practice address
- 150 Big Trees Rd
Suite a
Murphys, CA 95247-9101 - Phone
- (209) 728-2184
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LEP 2910 | CA | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LEP 2910 | CA | Yes |
Addresses
Primary practice location
150 Big Trees Rd
Suite a
Murphys, CA 95247-9101
Mailing address
20545 Eureka Dr
Sonora, CA 95370-7812
Other providers in Murphys, CA
- Susan I Hurst
- Tracey R Imsland
- Jean L. Ogburn
- Amelia Kaiser
- Sarah Krutsinger
- Mach One Physical Therapy PC
- Mach One Rehab LLC
- Brunhilde Maurice
- Jonna Maynard
- Mind Matters Clinic
All providers in Murphys, CA · School Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.