Provider Demographics
NPI:1902480825
Name:ANDERSON, LINDA (PHD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:ANDERSON
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:PO BOX 355830
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-5830
Mailing Address - Country:US
Mailing Address - Phone:206-543-1240
Mailing Address - Fax:
Practice Address - Street 1:UW COUNSELING CENTER
Practice Address - Street 2:1410 NE CAMPUS PKWY, 401 SCHMITZ
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-5830
Practice Address - Country:US
Practice Address - Phone:120-694-0836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60316112103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling