Provider Demographics
NPI:1730343617
Name:LINDLEY, COLLEEN THERESE (MTE,QMHP)
Entity type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:THERESE
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:MTE,QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 E MAIN ST STE W
Mailing Address - Street 2:
Mailing Address - City:JOHN DAY
Mailing Address - State:OR
Mailing Address - Zip Code:97845-1289
Mailing Address - Country:US
Mailing Address - Phone:541-575-1466
Mailing Address - Fax:541-575-1411
Practice Address - Street 1:528 E MAIN ST STE W
Practice Address - Street 2:
Practice Address - City:JOHN DAY
Practice Address - State:OR
Practice Address - Zip Code:97845-1289
Practice Address - Country:US
Practice Address - Phone:541-575-1466
Practice Address - Fax:541-575-1411
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor