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Contact Information

LYDIA LINEBAUGH
1777 AXTELL DR STE 101
TROY, MI48084-4400
 Phone: 248-613-5377
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LYDIA LINEBAUGH · (Female)

NPI # 1922533272
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2017
Last updated 04/25/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6301017010
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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